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    ATI PN Mental Health Proctored Exam 2023 II

    A nurse is receiving report on four clients at the beginning of the shift.Which of the following clients should the nurse check first?

    Explanation & Rationale

    Choice A rationaleClang associations involve the meaningless rhyming of words, often seen in psychotic disorders. While this indicates a disturbance in thought processes, it does not pose an immediate threat to the client or others, making it a lower priority compared to potential harm.Choice B rationaleCommand hallucinations are auditory hallucinations that instruct the client to perform an action, which can be harmful to themselves or others. This requires immediate attention and assessment to ensure the client's safety and the safety of those around them.Choice C rationaleNeologisms are newly coined words or phrases whose meaning is only understood by the client. This reflects disorganized thinking but does not indicate an immediate crisis or safety risk, making it a less urgent concern than command hallucinations.Choice D rationaleIdeas of reference are false beliefs that irrelevant occurrences or details in the world directly relate to oneself. While these can cause distress, they do not typically involve an immediate risk of harm, making this a lower priority compared to command hallucinations.

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