A client informs the nurse that they are hearing voices, what is the first thing the nurse should do?

 

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Correct

- Distract the client with the nice weather outside

- Tell the client the voices are not real

- Ask the client what the voices are saying

- Ignore the client so they know you are not going to play games

Rationale

Finding out what the voices are saying is the most important thing to do for safety of the client, staff and other clients.

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