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    Mental health proctored exam (viterbo university)

    A new nurse is preparing to assess a patient who is experiencing auditory hallucinations. Which statement by the nurse requires follow-up?

    Explanation & Rationale

    A: This statement requires follow-up because pretending that hallucinations are real can reinforce the patient’s delusions and is not a therapeutic approach. It is important to acknowledge the patient’s experience without validating the hallucinations as real. B: This statement is appropriate as it directly assesses the presence of hallucinations in a clear and straightforward manner. C: This statement is also appropriate as it helps to understand how the patient is managing their symptoms and can guide further interventions. D: Assessing for command hallucinations is crucial because these types of hallucinations can pose a risk to the patient or others if they involve harmful commands.

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