Ati Lpn Mental Health Proctored Exam(Mood And Stress)
A nurse is caring for a client who has schizophrenia and begins to talk about fantasy subjects. Which of the following is an appropriate intervention by the nurse?
Explanation & Rationale
Choice A reason: Encouraging focus on reality-based issues helps redirect the client gently without reinforcing delusions. It maintains therapeutic communication while grounding the client. Choice B reason: Asking for meaning focuses attention on the delusion, reinforcing it rather than redirecting. Choice C reason: Persuading the client that thoughts are not true is confrontational and ineffective. Clients with schizophrenia may not accept reality testing when actively delusional. Choice D reason: Allowing continued delusional talk reinforces psychosis and does not promote reality orientation.
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