A client tells the nurse she has bugs in her brain and asks if the nurse can hear them. Which of the following responses by the nurse is most therapeutic?
A) "No, I don't hear any bugs. Are you seeing bugs or hearing unusual sounds or voices?"
B) "No, I don't hear any bugs. That sounds scary for you."
C) "Your thinking is a little illogical. I wouldn't be able to hear bugs if they were inside your brain. Would you like to talk more about this?"
D) "You have a thought disorder and only think you have bugs in your brain. There really aren't any. You don't have to worry because we would give you medicine for any medical problems."
Ans: B
Feedback:
The person who hallucinates is preoccupied and frightened by what he or she hears or sees. The hallucination is real to the client, and the nurse cannot argue away, dismiss, or ignore it. Although the hallucination is real to the client, nurses make it clear that they do not hear the voices or see the visual images. Nurses do, however, communicate concern that the client is bothered, upset, or frightened by the hallucination.
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