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    ATI 133 Mental Health Final Proctored Exam

    A nurse is caring for a client diagnosed with schizophrenia and is experiencing hallucinations. Which of the following actions should the nurse take?

    Explanation & Rationale

    Choice A reason:Instructing the client to argue with the voices that are part of the hallucination is not recommended. This could potentially increase the client's anxiety and reinforce the hallucination, making it more prominent in the client's mind. It may also lead to an escalation of symptoms or confrontational behavior.Choice B reason:Telling the client to go to their room and that the voices should go away is dismissive and does not acknowledge the real distress that hallucinations can cause. This approach does not provide any therapeutic support or intervention and can make the client feel isolated and misunderstood.Choice C reason:Acting as if the hallucination is real can validate the client's delusion and may reinforce the false belief. It is important for healthcare professionals to maintain a sense of reality while showing empathy for the client's experience.Choice D reason:Asking direct questions about the hallucination can help the nurse assess the content and impact of the hallucinations on the client. It allows for a better understanding of what the client is experiencing without reinforcing the hallucination. The nurse should remain calm, approach quietly, call the person by name, ask what is happening, and whether they are afraid or confused.

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