A patient has had difficulty keeping a job because of arguing with co-workers and accusing them of conspiracy. Today this patient shouts, "They're all plotting to destroy me. Isn't that true?" Select the nurse's most therapeutic response.
A) "Everyone here is trying to help you. No one wants to harm you."
B) "Feeling that people want to destroy you must be very frightening."
C) "That is not true. People here are trying to help you if you will let them."
D) "Staff members are health care professionals who are qualified to help you."

Question

Quizplus · Accepted Answer

Resist focusing on content; instead, focus on the feelings the patient is expressing. This strategy prevents arguing about the reality of delusional beliefs. Such arguments increase patient anxiety and the tenacity with which the patient holds to the delusion. The other options focus on content and provide opportunity for argument.

A Patient Has Had Difficulty Keeping a Job Because of Arguing