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Exam NCLEX-PN topic 2 question 2 discussion

Actual exam question from Test Prep's NCLEX-PN
Question #: 2
Topic #: 2
[All NCLEX-PN Questions]

A nurse observes a client sitting alone and talking. When asked, the client reports that he is "talking to the voices." The nurse’s next action should be:

  • A. touching the client to help him return to reality.
  • B. leaving the client alone until reality returns.
  • C. asking the client to describe what is happening.
  • D. telling the client there are no voices.
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Suggested Answer: A 🗳️
Nurses need to inform clients that there is a difference in perceptions and pay attention to the content of hallucinations. The other options are not therapeutic.
Psychosocial Integrity

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BreezyBree
1 month, 1 week ago
this question and the one before are the same but with different answers
upvoted 3 times
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