A couple resides in a long-term care facility. The husband is admitted to the psychiatric unit after physically abusing his wife. He states, “My wife is having an affair with a young man, and I want it investigated." Which is the appropriate nursing reply?

Choice A reason: Asking “why” questions can be perceived as confrontational and may increase defensiveness. It does not validate feelings or provide therapeutic support. Choice B reason: This is the most therapeutic response. It acknowledges the client’s emotional state without reinforcing delusions. By focusing on feelings rather than the delusional content, the nurse promotes trust and opens dialogue for supportive intervention. Choice C reason: This response directly challenges the delusion by offering reassurance that is not based on reality. It risks escalating agitation because it contradicts the client’s fixed belief. Choice D reason: Confronting the delusion directly by stating it has no basis in fact is not therapeutic. Clients with psychosis are unlikely to accept reality testing in the moment, and this approach may increase hostility or mistrust.