A client with schizophrenia who admits to auditory hallucinations anxiously tells the nurse "The

voice is telling me to do things.". The priority assessment question the nurse should ask is

a. "Do you recognize the voice speaking to you?'
b. "How long has the voice been directing your behavior?"
c. "Does what the voice tell you to do frighten you?"
d. "What is the voice telling you to do?"


D
Learning what a command hallucination is telling the client to do is important because the command
often places the client or others at risk for harm. Command hallucinations can be terrifying and may
pose a psychiatric emergency. The other queries are of lesser importance than identifying the
command.

Nursing

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You are teaching a patient with endocarditis about his diagnosis. Which statement below is correct?

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What is the correct conversion for the improper fraction?

a. 7 b. 8 c. 7.79 d. 79.7

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The nurse assesses a patient with a skull fracture to have a Glasgow Coma Scale score of 3

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A client who is not fluent in English comes to the health center with vague complaints of back pains. Physical assessment findings include several old and fresh bruises over the upper part of the client's body

The client's spouse, who sits next to the client in the exam room, offers to answer questions and often finishes the client's sentences when the client is having trouble finding the appropriate words. The nurse should: A) Ask the spouse to remain in the waiting room while the client is being examined. B) Contact the local authorities. C) Encourage the spouse to remain with the client to provide information about the client's health, and to translate as needed. D) Alert hospital security to the potential for violence.

Nursing