Ati nurs 541 mental health proctored exam
A nurse is caring for a client diagnosed with schizophrenia who appears confused with distorted thinking and disorganized speech. What is the most appropriate intervention for this client?
Explanation & Rationale
Choice A reason: Treating hallucinations may be necessary, but it is not the immediate priority when the client is confused and disorganized. Safety must be ensured first. Choice B reason: Reassurance is supportive but insufficient as a primary intervention when the client is at risk due to confusion and impaired cognition. Choice C reason: Ensuring safety is the priority. Clients with disorganized thinking may be at risk of harm to themselves or others due to impaired judgment and perception. Choice D reason: Distraction may help manage symptoms but is not appropriate as a first-line intervention when safety is a concern.
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