A patient with schizophrenia and auditory hallucinations anxiously tells the nurse, "The voice is telling me to do things." Select the nurse's priority assessment question
a. "How long has the voice been directing your behavior?"
b. "Does what the voice tells you to do frighten you?"
c. "Do you recognize the voice speaking to you?"
d. "What is the voice telling you to do?"
ANS: D
Learning what a command hallucination is telling the patient to do is important; the command often places the patient or others at risk for harm. Command hallucinations can be terrifying and may pose a psychiatric emergency. The incorrect questions are of lesser importance than identifying the command.
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