Which action is recommended when caring for a hallucinating patient?

• A. Protect client from injury that might result from following voices
• B. Argue with the client about the hallucination
• C. Increase sensory stimulation
• D. Withhold antipsychotic drugs

Answer: (A)

In caring for a hallucinating patient, safety comes first. The person may act on the voices they hear, which can lead to self-harm or harm to others. The best approach is to protect the patient from injury by removing hazards, staying with them, and guiding them to safety with a calm, reassuring presence. Arguing about the hallucination tends to increase agitation and distress, and turning up sensory stimulation can worsen confusion. Withholding antipsychotic medications is not appropriate; decisions about treatment should be made by the healthcare team, and the patient should receive care aimed at managing symptoms. Focus on creating a safe, quiet environment, acknowledge the person’s feelings without arguing, and offer simple redirection to safer activities.