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Question
A client and his wife are visiting in the day room of an inpatient psychiatric unit when a client with acute psychosis experiencing auditory hallucinations sits down next to them and begins talking to the "voices." Which of the following nursing actions is most appropriate?1. Take the client with psychosis by the hand and lead the client to another area in the day room.
2. Announce over the intercom that visiting hours are over.
3. Observe the situation and intervene only if the client with psychosis becomes aggressive.
4. Remind the client with psychosis to respect the privacy of the other client and his wife.
Answer
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