A patient who has schizophrenia calls the nurse into the room and says, "Help me! The books are on fire!" Which response by the nurse is best?
a. "I'll get some water and put it out."
b. "That's crazy; you know the books are not on fire!"
c. "I do not see any fire. Here is your supper; it's time to eat."
d. "You don't have any books; how could they be on fire?"
ANS: C
C validates that the nurse heard the patient but then brings the patient back to the reality of suppertime. A. Putting water on it is inappropriate—there is no fire. B. Telling a mental health patient he or she is crazy is inappropriate. D uses logic; a patient with schizophrenia may be unable to see logic.
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