The nurse is precepting a new nurse in the psychiatric unit. The nurse is discussing interventions for schizophrenia. Which statement by the student nurse indicates an understanding of management of schizophrenia? Select all that apply.

  • “I should be warm and friendly to put the client at ease.”
  • “I can reassure the client that he is in a safe environment.”
  • “Puzzles or word games are good activities to engage in.”
  • “I can help the client use art or writing to express his feelings.”
  • “I won’t tell the client when I’m leaving him so he won’t get upset.”
Numbers 2, 3, and 4 are correct.
Interventions for schizophrenia include reassuring the client that the environment is safe and engaging in simple, concrete activities such as puzzles or word games. Art, writing, and music can help the client safely express his feelings. A neutral approach is less threatening than an overly warm and friendly approach. The nurse should inform the client when she is leaving to orient the client to reality and reassure him.