What is the nurse's priority action for a client says voices are telling him to hurt his roommate?

Question

Accepted Answer

A. stay with the client and initiate safety precautions while notifying the team — Command hallucinations to harm self or others create an immediate safety risk and require close supervision and prompt intervention.

Answer

B. leave the client alone to reduce stimulation

Answer

C. ask the roommate to reason with the client

Answer

D. argue that the voices are not real