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Nursing Management for Patients with Hallucinations, Helping the Client…

- - - - Chronic illness and institutionalization
        
        Lack of adequate support.
        
        Biological factors.
    - - Delusional thinking and high anxiety.
        
        Feelings of insecurity, mistrust, and weak ego boundaries.
- - - - Audible responses to voices.
  - - - Startling when approached.
  - - - May act on command hallucinations (e.g., self-harm or harm to others).
- - - - Assure the patient they are in a safe place.
    - - Be open, honest, and consistent.
        
        Avoid challenging or arguing about the hallucination.
    - - Manage your own anxiety, as it can increase the patient's fear.
  - - - Do not give the voices status; refer to them as "the voices you say you hear."
    - - Use a slightly louder voice to stimulate a response.
- - - - Degree of conviction.
        
        Coping strategies used and their effectiveness.