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    Ati nurs 541 mental health proctored exam(behavioral health)

    A hospitalized client diagnosed with alcohol use disorder believes spiders are spinning webs in the room to entrap him. The patient is fearful, agitated, and diaphoretic. Which nursing intervention is indicated?

    Explanation & Rationale

    A. A dimly lit room can increase misperceptions and hallucinations, worsening fear. B. The client is experiencing alcohol withdrawal delirium with hallucinations, agitation, and high risk for injury. Continuous monitoring ensures safety and allows immediate intervention. C. Hydration is important, but it is not the priority compared to preventing injury during hallucinations. D. Intermittent checks are not enough; the client requires continuous supervision for safety.

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