A chronic psychotic client tells the nurse she cannot participate in group therapy because her head is empty. Which of the following responses should the nurse plan to use with this client?
1. "If your head is empty, how can you walk and talk?"
2. " Don't talk nonsense. No one has an empty head."
3. "You're feeling as though you are not able to think?"
4. "Let's not focus on that right now."
ANS: 3
This response helps the client identify feelings and provides an opportunity for the client to con-tinue verbalizing. Option 1 is challenging. Option 2 is belittling and attempts to refute a delusion. Option 4 changes the topic and blocks further communication on the topic of the client's choice.
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