During the mental status assessment, the client expresses the belief that the CIA is stalking him and plans to kidnap him. The best response by the nurse would be:
During the mental status assessment, the client expresses the belief that the CIA is stalking him and plans to kidnap him. The best response by the nurse would be:
A) "That makes no sense at all."
B) "You can tell me about that after I finish asking these questions."
C) "What kinds of things have been happening?"
D) "Why would the CIA be interested in you?"
C
Feedback: The nurse seeks clarification and understanding of the client's perception and meaning. Response A is inappropriate because it may make perfect sense to the client. Response B shows that the nurse is not interested in what the client has to say. Response D feeds into the notion that the CIA is stalking the client.
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