A patient with schizophrenia says voices are ordering him to attack another patient. What is the priority nursing action?
Correct answer: A. Ask what the voices are saying and assess intent
- A. Ask what the voices are saying and assess intent
- B. Tell the patient the voices are not real
- C. Leave the patient alone in a quiet room
- D. Ask the patient to describe childhood experiences
Explanation
Command hallucinations require immediate assessment of their content, the patient's intention, and access to means, because they may create an immediate safety risk. Arguing about the voices or leaving the patient alone may increase risk and does not establish whether harm is imminent.
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About Psychotic Disorders
Psychotic disorders involve disturbances in reality testing, including delusions, hallucinations, disorganized speech, disorganized behavior, and negative symptoms. Coverage includes schizophrenia and related disorders, assessment of thought content and perception, risk management, antipsychotic treatment, and the distinction between psychosis, delirium, substance effects, and mood disorders.
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