A patient is very suspicious and states, "The FBI has me under surveillance." Which strategies should the nurse to use when gathering initial assessment data about this patient? More than one answer is correct
a. Say to the patient, "Tell me about the problem as you see it."
b. Tell the patient medication will help this type of thinking.
c. Seek information about when the problem began.
d. Tell the patient, "Your ideas are not realistic."
e. Reassure the patient, "You are safe here."
A, B, E
During the assessment interview, the nurse should listen attentively and accept the patient's statements in a nonjudgmental way. Because the patient is suspicious and fearful, reassuring safety may be helpful, although trust is unlikely so early in the relationship. It is important for the nurse to try to understand the patient's views.
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