NCLEX-PN
PN Nclex Questions 2024 Questions
Extract:
Question 1 of 5
A client sitting alone and talking to voices is observed by a nurse. When asked, the client reports he is 'talking to the voices.' The nurse's next action should be:
Correct Answer: C
Rationale: When a client reports talking to voices, it can indicate the presence of hallucinations. Asking the client to describe what is happening is a crucial step as it helps the nurse understand the nature of the hallucinations and provides reassurance to the client.
Touching the client without consent is inappropriate and can be distressing. Leaving the client alone may not address the underlying issue, and telling the client there are no voices denies their experience and can lead to mistrust.
Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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