Question

A nurse caring for a client with schizophrenia identifies which finding as placing the client at the greatest risk for self-directed injury or injuring others?

A) Inability to communicate with others
B) Feelings of absence of self-worth
C) Lack of motivation to perform daily tasks
D) Command hallucinations

Answer 1

Command hallucinations in schizophrenia patients are the greatest risk for self-harm or harm to others, as these are commands from hallucinations that may direct harmful actions.

Step-by-step explanation:

When caring for a client with schizophrenia, a nurse would identify command hallucinations as the finding placing the client at the greatest risk for self-directed injury or injuring others. Command hallucinations are auditory hallucinations that direct the person to perform an action, often harmful to themselves or others. Due to the severity of these hallucinations, they pose a significant concern in regards to both the safety of the individual with schizophrenia and the safety of others around them.