Schizophrenia and Psychotic Disorders · NCLEX Exam

Which of the following is a valid nursing priority when caring for a client with a psychotic disorder?

  1. Encourage the client to act on hallucinations to explore them
  2. Assess for command hallucinations and risk of self-harm or harm to others
  3. Ignore delusional beliefs as they will resolve automatically
  4. Focus only on medication and ignore psychosocial interventions
Show answer and explanation

Correct answer: Assess for command hallucinations and risk of self-harm or harm to others

Assessing for command hallucinations and violence risk is a nursing priority because psychotic symptoms can directly lead to self-harm or harm to others; comprehensive care includes psychosocial as well as pharmacologic interventions.

Difficulty: Easy Question 20 of 20

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