When the paranoid schizophrenic states that his whole family has conspired to have him put in the hospital and that the medical staff is part of the conspiracy, the nurse's most therapeutic re-sponse would be:
a. "I'm not like that. I want to help you."
b. "You know your family is concerned about you."
c. "I'm sorry you feel that way. I'll be around if you want to talk about your feelings."
d. "The doctors are trying to help you feel better. They have your best interest in mind."
C
Arguing with the paranoid patient, or defending self or others, reinforces the paranoia. Passively offering self to the patient to approach you rather than the other way around is helpful to the nurse-patient relationship.
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