The patient is admitted with an Acute Psychotic episode. They report seeing spiders climbing the walls on the unit. They want the nurse to "call the exterminators". Your response to the patient includes:
Explanation & Rationale
Choice A reason: This response is non-therapeutic because it focuses on the nurse's feelings ("I hate spiders") rather than the patient's needs. Moving the patient also validates the hallucination as a real physical threat in the environment, which can increase the patient's fear and further destabilize their grasp on reality. Choice B reason: This is the therapeutic technique of "presenting reality." The nurse acknowledges the patient's experience to show empathy but calmly provides the nurse's own perception of the environment. This helps the patient differentiate between internal hallucinatory stimuli and the external environment without being dismissive or confrontational. Choice C reason: This is "agreeing with the hallucination," which is highly non-therapeutic. Validating a false perception as real reinforces the psychosis and can make the patient feel more terrified. It also damages the nurse's credibility when the "exterminators" fail to find any physical evidence of an infestation. Choice D reason: This response is derogatory, unprofessional, and stigmatizing. Labeling a patient as "crazy" is a violation of ethical standards and destroys the therapeutic alliance. While medication is necessary, this approach is aggressive and fails to provide the immediate emotional stabilization required during a psychotic episode.