Difficulty: Medium
Average Score: 94%
Simulated
A nurse is caring for a client who has schizophrenia and is experiencing a hallucination. Which of the following actions should the nurse take?
Correct answer
D
Rationale
The correct answer is D: Tell the client that the hallucination is not a part of reality. This is the most appropriate action as it helps the client differentiate between what is real and what is not, promoting reality orientation and reducing distress. Choice A may worsen the hallucination by focusing on it. Choice B could increase conflict and distress for the client. Choice C could validate the hallucination and blur the line between reality and the hallucination.