Difficulty: Medium
Average Score: 92%
Simulated
A nurse is conversing with a client diagnosed with schizophrenia. Suddenly, the client expresses fear, stating, 'IÔÇÖm scared. Can you hear that? The voices are instructing me to do awful things.' Which of the following responses from the nurse would be suitable?
Correct answer
B
Rationale
Asking what the voices say (B) assesses potential harm and validates experience. Why (A) challenges, denying voices (C) dismisses, and familiarity (D) is secondary to safety.