Difficulty: Medium
Average Score: 77%
Simulated
The nurse is caring for a client with schizophrenia who is having active hallucinations. The nurse implements which actions to manage the client during the episode? Select all that apply.
Correct answer
A,D,E
Rationale
Medications help manage hallucinations, distraction can reduce focus on hallucinations, and assessing for command hallucinations ensures safety. Touch may increase anxiety, reinforcing hallucinations is nontherapeutic, and going along with delusions can worsen confusion.