A client with schizophrenia tells the nurse as they sit in the day room, "I hear voices telling me bad things." The most therapeutic response the nurse can make is:
1. "Tell me what the voices are saying."
2. "I understand you hear these so-called voices, but I hear only the people in the room talking."
3. "The voices are not real. They're only your imagination."
4. "Do you think the voices would go away if we went into your room to talk?"
ANS: 2
By voicing his or her own reality related to the voices, the nurse does not deny the client's expe-riences but helps the client distinguish actual voices from those resulting from internal stimula-tion. Option 1 validates the reality of the voices. Option 3 will cause the client to defend his per-ceptions and thereby reinforce the importance of the hallucination. Option 4 again validates the reality of the voices and is not a helpful action since the voices go where the client goes.
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