Clients auditory hallucination

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Reference no: EM133694006

Question

When using the urgent vs. nonurgent approach to client care when generating solutions for the client, the nurse should first address the client's auditory hallucinations along with impaired thoughts. To ensure the safety of the client and others, the nurse should assess the client for command hallucinations, which can be an emergent situation if the client is hearing voices that instruct them to harm themselves or others. The nurse should next address the client's restlessness and pacing as these behaviors indicate worsening anxiety, which increases the risk for violence. These behaviors, combined with the client's history of physical assault and psychosis, place them at high risk for aggression.

Reference no: EM133694006

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