A client with schizophrenia says, The voices are telling me to hurt myself. What should the nurse do first?

Question

Accepted Answer

B. Ask what the voices are saying and assess immediate safety risk — Command hallucinations can create immediate safety risk. The nurse first assesses what the voices are saying and whether the client intends to act on them.

Answer

A. Tell the client the voices are not real and walk away

Answer

C. Challenge the client to ignore the voices independently

Answer

D. Offer a puzzle and return in an hour