Difficulty: Medium
Average Score: 66%
Full-length
A client experiencing delusions states, 'I came here because there were people surrounding my house that wanted to take me away and use my body for science.' The best response by the nurse would be:
Correct answer
D
Rationale
Focusing on the delusional content does not reinforce reality. Pursuing details or more information on the delusion reinforces the false belief and further distances the client from reality. Challenging the client's delusional system may force the client to defend it, and you cannot change the delusion through logic. Focusing on the feeling can reinforce reality and discourage the false belief. Seeking out staff when thoughts are troublesome can help to decrease anxiety.