A Native American hospitalized with auditory and visual hallucinations says, "My father said I should kill myself to save me from bad spirits." The patient's father is deceased. Which intervention would most appropriate?
a. After the patient becomes comfortable in the hospital setting, encourage description of the visions in a group setting.
b. Explain to the patient that there are no evil spirits and these symptoms demonstrate grief related to the father's death.
c. Obtain the patient's consent then consult the family for a spiritual healer from the patient's tribe.
d. Provide the patient with private time to meditate and pray.
C
Native Americans frequently use spiritual healers and herbs and a holistic approach to treating the person—mind, body, and spirit. Many Native Americans prefer to use their own spiritual healers from their own tribes. It is inappropriate to deny the patient's experience or expose other patients to the patient's visions. Leaving a patient who may be experiencing command hallucinations alone is dangerous.
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