Difficulty: Medium
Average Score: 86%
Simulated
A client with schizophrenia tells the nurse that he knows the doctor is trying to kidnap him and sell him as a slave. Which of the following responses by the nurse are therapeutic? (Select all that apply.)
Correct answer
B,E
Rationale
The correct answers are B and E. Answer B ("Tell me more about your feelings towards the doctor") is therapeutic as it encourages the client to express their concerns and helps the nurse understand the client's perspective. Answer E ("You seem to be worried about seeing the doctor") demonstrates empathy and acknowledges the client's emotions, which can help build a therapeutic relationship.
Incorrect answers:
A: This response minimizes the client's concerns and does not address the underlying issue of the client's fears.
C: This response is dismissive and confrontational, which can worsen the client's paranoia.
D: This response is not empathetic and does not address the client's emotions or concerns.
Summary: The therapeutic responses focus on empathy, understanding, and building a trusting relationship with the client. Responses that dismiss, minimize, or confront the client's delusions are not helpful in this situation.
Incorrect answers:
A: This response minimizes the client's concerns and does not address the underlying issue of the client's fears.
C: This response is dismissive and confrontational, which can worsen the client's paranoia.
D: This response is not empathetic and does not address the client's emotions or concerns.
Summary: The therapeutic responses focus on empathy, understanding, and building a trusting relationship with the client. Responses that dismiss, minimize, or confront the client's delusions are not helpful in this situation.