Difficulty: Medium
Average Score: 68%
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
C
Rationale
This empathetic response validates the clientÔÇÖs fear without reinforcing the hallucination, building trust. A dismisses the clientÔÇÖs state, B risks escalation by invalidating perception, and D denies the experience, potentially increasing distrust.