RN Comprehensive Predictor 2026 Proctored Exam V2
A nurse is developing a plan of care for a client who has schizophrenia and is experiencing auditory hallucinations. Which of the following actions should the nurse include in the plan?
Explanation & Rationale
Asking the client directly about the hallucination content assesses for command hallucinations (e.g., voices telling the client to harm self or others), which is a safety priority. This also demonstrates respect and therapeutic engagement. Eye contact should be maintained (not avoided) to establish trust. Encouraging isolation in a quiet room can worsen hallucinations. The nurse should acknowledge the client's distress without reinforcing the hallucination as real — validating reality gently is the goal.
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