ATI RN Comprehensive Predictor 2023 Updated Proctored Exam
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
A. Lying down in a quiet room may not be the best approach as it may isolate the client further. A more active approach is needed to engage with the client. B. Asking the client directly what they are hearing helps assess the content of the hallucinations and can provide insight into the client’s experience. C. Avoiding eye contact may increase anxiety or suggest a lack of concern. Maintaining appropriate eye contact is generally supportive. D. Referring to hallucinations as real can reinforce delusions and is not therapeutic.
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