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    HESI PN EXIT Proctored Exam 2

    A college student brings his roommate to the clinic because the roommate has been talking to someone who is not present. The student tells the practical nurse (PN) that his roommate is acting strange. Which question should the PN ask the client next?

    Explanation & Rationale

    A. This is the most critical question to ask initially because it assesses the client's potential for harm to self or others. If the client feels compelled to obey the voices, it could indicate a risk of dangerous behavior or a psychiatric emergency. B. While substance use could be a contributing factor, this question is not the immediate priority. It is more important to first assess for any imminent danger associated with the hallucinations. C. Knowing when the voices began is important for gathering a history of the symptoms, but assessing the immediate safety of the client takes precedence over timeline details at this point. D. While this is a relevant question to determine the client's insight into their hallucinations, it does not assess the immediate risk of harm. Ensuring the client's safety is the priority.

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