Psychiatric / mental health nursing · practice question

A 42-year-old client in a crisis stabilization unit is being evaluated for auditory hallucinations. Assessment data include the client reports hearing voices telling them to hurt themselves. Which intervention best reduces the client's risk of complications?

Multiple choiceMediumnclex-rn-bsnnclex-validatednclex-2026psychiatric-mental-health

Delay teaching until the day of discharge only.Identify risk early, implement prevention measures, teach warning signs, and plan timely reassessment.Restrict all movement without individualized assessment.Ignore small changes until they become severe.

Answer and explanation

Correct answer

B. Identify risk early, implement prevention measures, teach warning signs, and plan timely reassessment.

Why

Risk reduction focuses on early identification, prevention, teaching, and reassessment rather than unnecessary restriction or delay.

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A 42-year-old client in a crisis stabilization unit is being evaluated for auditory hallucinations. Assessment data include the client reports hearing voices telling them to hurt themselves. Which intervention best reduces the client's risk of complications?

Correct answer

Why

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