Difficulty: Medium
Average Score: 71%
Simulated
A nurse is caring for a client who has schizophrenia and is experiencing command auditory hallucinations. Which of the following actions should the nurse take?
Correct answer
A
Rationale
The correct answer is A: Ask the client direct questions about the hallucinations. This approach helps the nurse gather valuable information about the hallucinations, such as content, frequency, and impact on the client. It also shows the client that the nurse is actively listening and interested in their experiences, promoting trust and rapport.
Choice B is incorrect because acting as if the hallucinations are real can reinforce the client's belief in them, worsening the symptoms. Choice C is incorrect as arguing with the voices can escalate the situation and increase distress. Choice D is incorrect because telling the client that the hallucinations will subside soon may not be accurate and could invalidate the client's experiences.
Choice B is incorrect because acting as if the hallucinations are real can reinforce the client's belief in them, worsening the symptoms. Choice C is incorrect as arguing with the voices can escalate the situation and increase distress. Choice D is incorrect because telling the client that the hallucinations will subside soon may not be accurate and could invalidate the client's experiences.