The nurse monitoring a client who appears to be hallucinating notes paranoid content in the client's speech. The client appears agitated, gesturing at a figure on the television. Which nursing intervention is appropriate? (Select all that apply.) A. Reassure the client that there is no danger. B. Instruct other team members to ignore the client's behavior. C. Immediately apply physical restraints. D. Use a calm voice and simple commands E. Instruct the client to stop the behavior. F. Acknowledge the presence of the hallucinations.
Answer (2)
Appropriate nursing interventions for a client experiencing hallucinations include using a calm voice, acknowledging the hallucinations, and reassuring the client of their safety. These actions help de-escalate the situation while maintaining the client's dignity. Avoid dismissing behavior or resorting to restraints unless absolutely necessary. ;
The appropriate nursing interventions for a client experiencing hallucinations include using a calm voice, acknowledging the hallucinations, and reassuring the client that there is no danger. It is essential to avoid ignoring the behavior, applying restraints without cause, or instructing the client to stop their behavior. These actions help promote safety and develop trust between the client and the nurse.
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