A nurse is caring for a client on a psychiatric unit. Exhibits For each potential action, click to specify if the action is indicated or contraindicated for the client.

Potential action Indicated Contraindicated Ask the client about the content of their hallucinations. ✓ Instruct the client on expected hygiene practices. ✓ Allow the client to watch TV at a high volume. ✓ Assess the client for suicidal ideation. ✓ Place the client in a room near the activity ✓ Rationale Ask the client about the content of their hallucinations: Indicated Understanding the content of hallucinations can help in assessing the severity and nature of the client's condition, and in planning appropriate interventions. Instruct the client on expected hygiene practices: Indicated Encouraging and educating the client about personal hygiene is important for their overall well-being and social interactions. Allow the client to watch TV at a high volume: Contraindicated High volume and excessive stimulation can exacerbate symptoms of schizophrenia, such as hallucinations and agitation. Assess the client for suicidal ideation: Indicated Regular assessment for suicidal thoughts is crucial, even if the client initially denies them, as their mental state can change. Place the client in a room near the activity: Contraindicated A quieter environment is generally more beneficial for clients with schizophrenia to reduce overstimulation and stress.