A client with schizophrenia spectrum disorder presents with bizarre behaviors and delusions. Which nursing action should be prioritized to maintain this client's safety?

Question

Quizplus · Accepted Answer

Noting escalating behaviors immediately is the priority in this situation to ensure the client’s safety, as these behaviors may indicate that the client is becoming more agitated and potentially aggressive. Monitoring medication nonadherence and assessing triggers for behaviors are important interventions but may not be the priority in this specific scenario. Interpreting communication attempts can also be important to provide client-centered care, but it is not directly related to maintaining the client’s safety in the moment.

A Client with Schizophrenia Spectrum Disorder Presents with Bizarre Behaviors