When a client who has been hallucinating suddenly shouts, "Stop saying that," what is the most therapeutic response by the nurse?

When a client who has been hallucinating suddenly shouts, "Stop saying that," what is the most therapeutic response by the nurse?

• A. "You need to control your temper."
• B. "Let's talk about why you think that."
• C. "The voices are not heard by others, but I'm here for you."
• D. "You should try not to listen to them."

Answer: (C)

The choice that indicates the most therapeutic response involves acknowledging the client's experience while providing reassurance and support. By stating, "The voices are not heard by others, but I'm here for you," the nurse validates the client's feelings and experiences without reinforcing the hallucinations. This response demonstrates empathy and understanding while also establishing trust. It reminds the client that they are not alone in their struggle and that the nurse is a supportive presence in the moment, which is crucial in mental health nursing. In mental health care, particularly with clients experiencing psychosis, it is vital to maintain a non-judgmental and supportive approach. This response encourages open communication and offers the client a sense of safety. It separates the client’s reality from the external world, helping them feel understood without dismissing their feelings or experiences.

The choice that indicates the most therapeutic response involves acknowledging the client's experience while providing reassurance and support. By stating, "The voices are not heard by others, but I'm here for you," the nurse validates the client's feelings and experiences without reinforcing the hallucinations. This response demonstrates empathy and understanding while also establishing trust. It reminds the client that they are not alone in their struggle and that the nurse is a supportive presence in the moment, which is crucial in mental health nursing.

In mental health care, particularly with clients experiencing psychosis, it is vital to maintain a non-judgmental and supportive approach. This response encourages open communication and offers the client a sense of safety. It separates the client’s reality from the external world, helping them feel understood without dismissing their feelings or experiences.