Practice Question
A nurse is planning care for multiple clients who each have a diagnosis of schizophrenia. Which of the following clients should the nurse plan to see first?
Answer Choices:
Correct Answer:
A client who is experiencing command hallucinations
Rationale:
💙Command hallucinations involve hearing voices that direct the client to harm self or others, making this a priority safety concern.
💙This symptom indicates an immediate risk for violence or suicide, requiring urgent nursing intervention.
💙The nurse’s role is to assess the content of the hallucinations, ensure close monitoring, and implement safety precautions.
💙Clients with catatonia, echolalia, or akathisia may need timely intervention, but they do not present the same immediate danger as command hallucinations.
💙Following the safety-first principle (Maslow & ABCs), protecting the client and others from harm is the top priority.
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This question is from RN Mental Health 2023 B which contains 65 questions.
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Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI Mental Health
- Answer Choices: 4