RN Comprehensive Predictor 2026 Proctored Exam V2
A nurse is caring for a client who has schizoaffective disorder and tells the nurse, "I'm the prince of peace and my enemies are coming to take me to another world." Which of the following responses should the nurse make?
Explanation & Rationale
Redirecting the client to an activity ("Let's take a walk") uses distraction and therapeutic engagement to de-escalate without reinforcing or arguing with the delusion. Encouraging the client to elaborate ("Tell me all about being the prince of peace") reinforces the delusional thinking. Arguing with the delusion ("There isn't another world") is nontherapeutic and may increase agitation. Reinforcing the delusional content by offering to protect them from imaginary enemies further validates the false belief.
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