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johnyyyman3 johnyyyman3
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6 years ago
A paranoid client diagnosed with schizophrenia spectrum disorder states, My psychiatrist is out to get me. I'm sad that the voice is telling me to stop him.
 
   What symptom is the client exhibiting, and what is the nurse's legal responsibility related to this symptom? 1. Magical thinking; administer an antipsychotic medication.
  2. Persecutory delusions; orient the client to reality.
  3. Command hallucinations; warn the psychiatrist.
  4. Altered thought processes; call an emergency treatment team meeting.
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6 years ago
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Rationale: The nurse should determine that the client is exhibiting command hallucinations. The nurse's legal responsibility is to warn the psychiatrist of the potential for harm. Clients demonstrating a risk for violence could potentially be physically, emotionally, and/or sexually harmful to others or to self.
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