Mental Health Technician Certification (AMCA) Practice Test

In the case of a female client diagnosed with schizophrenia and COPD experiencing visual and auditory hallucinations, where should the technician's first intervention be focused?

1. Managing hallucinations

2. Addressing shortness of breath and cyanosis

3. Providing therapeutic communication

4. Assessing pain levels

The correct answer is: Addressing shortness of breath and cyanosis

The focus of the first intervention should be on addressing shortness of breath and cyanosis in a client diagnosed with schizophrenia and COPD. This is because the combination of a psychiatric condition and a chronic respiratory illness presents an immediate risk to the client's physical health. Individuals with chronic obstructive pulmonary disease may experience respiratory distress, which can lead to exacerbated symptoms and potentially life-threatening situations. Addressing shortness of breath is critical as it directly impacts the client's ability to breathe, oxygenate their blood, and maintain overall stability. While hallucinations, therapeutic communication, and pain levels are important factors to address in the overall care of the client, they would come after ensuring the client’s immediate physical needs are met. Prioritizing physical health takes precedence in situations where there are symptoms like cyanosis and difficulty breathing, as these can indicate severe medical emergencies that require prompt attention.