Acknowledging the patient's experience without reinforcing the hallucination's reality helps maintain therapeutic relationship while not validating psychotic symptoms. Approach: 'I understand you're hearing voices, but I don't hear them.' Then redirect to reality-based activity. Other strategies: assess content (command hallucinations dangerous); monitor for distress; provide reassurance; distract with concrete tasks; and teach coping strategies (listening to music, engaging in conversation). Antipsychotic medications are primary treatment. Nurses avoid arguing about reality but don't agree with delusions/hallucinations. Building trust allows patient to share experiences, aiding assessment. Safety is priority with command hallucinations to harm self/others. Documentation should quote patient's description, not interpret. Non-pharmacological approaches: cognitive behavioral therapy for psychosis; social skills training; supported employment. Recovery-oriented care focuses on functioning and quality of life, not just symptom reduction. Family education about illness and support improves outcomes.

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Zambia

• Joseph Soko – 101 pts

• Visual Pathway Lesions
• Positive and Negative Symptoms
• Hallucinations and Delusions
• Antipsychotic Medications
• Emergency: Environmental Emergencies