ATI LPN Mental Health Proctored Exam 2023
A nurse in a mental health facility is collecting a blood specimen from a client.The client is hallucinating and states, "That looks like a snake, and I won't let it take all of my blood.”. Which of the following responses should the nurse make?
Explanation & Rationale
Choice A rationaleAcknowledging the client's fear and providing reassurance without confirming the hallucination helps build trust and reduce anxiety.Choice B rationaleCorrecting the client by stating it is a syringe, not a snake, dismisses their fear and can increase distress.Choice C rationaleEmphasizing the provider's requirement for the blood specimen does not address the client's fear and can worsen anxiety.Choice D rationaleTelling the client they are mistaken dismisses their hallucination and can increase their distress and mistrust.
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