ATI RN Mental Health 2023 with NGN | Nurselytic

Questions 60

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ATI RN Mental Health 2023 with NGN Questions

Extract:


Question 1 of 5

A nurse is caring for a client who has schizophrenia and is experiencing auditory hallucinations. Which of the following actions should the nurse take first?

Correct Answer: A

Rationale: The correct answer is A: Ask the client what they are hearing. This is the first action the nurse should take to assess the nature and content of the auditory hallucinations. Understanding the hallucinations will help the nurse determine the level of distress the client is experiencing and develop an appropriate care plan.


Choice B: Focusing on reality-based topics may be helpful but should come after assessing the hallucinations to establish rapport and trust with the client.


Choice C: Taking the client for a walk outside may not address the immediate concern of the auditory hallucinations and may not be appropriate without first understanding the hallucinations.


Choice D: Encouraging the client to listen to music may not be helpful if the auditory hallucinations are distressing and could potentially exacerbate the symptoms.

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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