💊 NCLEX-RN Exam Prep

A client with schizophrenia is experiencing auditory hallucinations, stating, 'The voices are telling me to hurt myself!' What is the nurse's priority action?

A Ask the client, 'What are the voices saying exactly?'
B Tell the client, 'I don't hear any voices, but I understand you do.'
C Ensure the client's immediate safety and remove any potential means of harm.
D Administer a PRN antipsychotic medication as prescribed.

✓ Correct Answer: Option C

When a client reports command hallucinations to self-harm, the absolute priority is to ensure their immediate safety by removing any potential means of harm and supervising them closely.

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