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학습 자료 둘러보기 →When a client reports command hallucinations to harm themselves, the priority is environmental safety. Immediately initiate continuous one-to-one observation and systematically remove all potentially harmful objects, including sharps, cords, and glass items.
A significant proportion of patients can act on suicidal ideation within 24 hours, with some making a severe attempt on the same day the ideation develops. This rapid progression demands that safety measures are implemented before pharmacological or communicative interventions.
Do not leave the client alone or delay safety measures to explore the hallucination's content. Asking for details about the voices validates the psychotic experience and diverts focus from the imminent risk of self-injury.
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