A nurse is caring for a client who has delusional behavior. The client states, "I can't go to group today. I am expecting a high level official to visit me!" Which of the following responses should the nurse make?

Choice A reason: This response dismisses the client’s delusion and does not provide therapeutic support. Minimizing the client’s concern can increase mistrust and resistance to treatment. Choice B reason: This is the correct response because it acknowledges the client’s concern without validating the delusion. It also encourages participation in therapy by offering support and companionship. This approach is therapeutic and helps redirect the client’s focus. Choice C reason: While encouraging therapy attendance is appropriate, this response does not address the client’s immediate concern and may come across as dismissive. It lacks the supportive element of walking with the client. Choice D reason: Asking the client to explain the delusion can reinforce it and is not therapeutic. Nurses should avoid challenging or confronting delusions directly, as this can increase defensiveness and agitation.