ATI RN Comprehensive Predictor 2023 Updated Proctored Exam
A nurse is admitting a client who has schizophrenia. The client states, "I'm hearing voices." Which of the following responses is the priority for the nurse to state?
Explanation & Rationale
A. While it is important to assess the duration of symptoms, it is more important to understand the content and context of the voices to determine potential risks. B. Acknowledging that the voices are real to the client, while not hearing them, shows empathy and avoids invalidating the client's experience. C. Understanding what the voices are saying helps assess the potential for harm and allows for appropriate intervention. D. While checking on medication adherence is important, it does not address the immediate concern of what the voices may be telling the client.
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