Difficulty: Medium
Average Score: 69%
Simulated
A nurse in a mental health facility is collecting a blood specimen from a client. The client is hallucinating and states, 'That looks like a snake, and I wonÔÇÖt let it take all of my blood.' Which of the following responses should the nurse make?
Correct answer
D
Rationale
This statement is acknowledging the clientÔÇÖs hallucination and validating their feelings, which can help to build trust and reduce anxiety. Options A, B, and C either dismiss the clientÔÇÖs perception or fail to address their emotional state, potentially increasing anxiety or damaging trust.