A nurse is caring for a client with schizophrenia who has been experiencing auditory hallucinations and paranoid delusions. The client suddenly becomes agitated, appears restless, paces around the room, and states, "The voices are telling me that the staff is trying to poison me through the IV medication. I need to leave now!" Vital signs are: BP 150/95 mmHg, HR 110 bpm, RR 24/min. The client has been compliant with oral antipsychotic medication but refuses IV medications. What is the most appropriate initial nursing intervention?

• 1 Immediately call security to restrain the client to prevent elopement
• 2 Explain to the client that the hallucinations are not real and the medication is safe
• 3 Administer a PRN antipsychotic medication without the client's knowledge
• 4 Acknowledge the client's feelings and use therapeutic communication to establish trust ✓ 정답

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