Difficulty: Medium
Average Score: 95%
Simulated
A client reports that someone is in the room and trying to kill him. The nurse's best response is:
Correct answer
B
Rationale
When a client reports hallucinations or delusions, it is crucial to respond in a non-confrontational and empathetic manner. Choice B acknowledges the client's fear without confirming the delusion, showing understanding, and providing reassurance. This response validates the client's feelings without reinforcing the false belief. The other responses in choices A, C, and D dismiss the client's feelings or perceptions, which can escalate the situation and harm the therapeutic relationship.