Practice Question
A client diagnosed with schizophrenia approaches the nurse and says, "The FBI is monitoring us through cameras and microphones in this room. Be careful what you say." The client appears tense and frequently glances at the ceiling corners. Which nursing response would be most therapeutic?
Answer Choices:
Correct Answer:
"It sounds like you're worried about your privacy. Please tell me about your concerns?"
Rationale:
🔷 This statement acknowledges the client’s fear without confirming the delusion, which maintains trust and reality orientation.
🔷 It uses reflective listening and promotes discussion of the underlying anxiety or fear related to the delusion.
🔷 The nurse avoids arguing or validating the delusion, which could increase client defensiveness or anxiety.
🔷 Focusing on feelings rather than content of the delusion is the most therapeutic approach in schizophrenia care.
🔷 This technique helps the nurse assess the emotional impact of the delusion and provides comfort in a safe, nonjudgmental way.
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From Exam
Mental health community and public health quiz
15 Questions
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- Category: RN Nursing Exam(s)
- Subcategory: Examplify Exam(s)
- Domain: Mental Health
- Answer Choices: 4