Difficulty: Medium
Average Score: 66%
Simulated
A newly admitted client diagnosed with paranoid schizophrenia is pacing rapidly and wringing his hands. He states that another client is out to get him. Then he says, 'Protect me, select me, reject me.' The nurse should next:
Correct answer
D
Rationale
Removing other clients from the area reduces stimuli and potential triggers for the client's paranoia, promoting safety without immediately resorting to medication, seclusion, or restraints.