Difficulty: Medium
Average Score: 95%
Full-length
A male client is experiencing auditory hallucinations. His nurse enters the room and he tells her that his mother is talking to him, and he will take his medicine after she leaves. The nurse looks around the room and sees that she and the client are the only ones in the room. The nurse's most therapeutic response will be:
Correct answer
A
Rationale
This response uses the principle of reality orientation by the nurse telling the client that he or she does not see anything, but it does recognize his feelings.