A Patient Who Was Responding to Auditory Hallucinations Earlier in the Morning

question 20

Multiple Choice

A patient who was responding to auditory hallucinations earlier in the morning now approaches the nurse shaking a fist and shouts, "Back off!" and then goes to the day room. While following the patient into the day room, the nurse should do which of the following?

• A) Make sure there is adequate physical space between the nurse and patient
• B) Move into a position that places the patient close to the door
• C) Maintain one arm's-length distance from the patient
• D) Begin talking to the patient about appropriate behaviour

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Definitions:

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