A nurse is working with a client who is delusional. The client says to the nurse, "The leaders of a religious cult are being sent to assassinate me." Which of the following is the best response by the nurse?
1. "I don't believe that what you are telling me is true."
2. "There are no religious cults in this area that are going to kill you."
3. "What makes you think that cult members are being sent to hurt you?"
4. "I don't know about a religious cult. Are you afraid that people are trying to hurt you?"
4
Rationale: The nurse who disagrees with a client's delusions may make the client more defensive and cling to the delusions even more firmly. It is most therapeutic for the nurse to empathize with the client's experience. The nurse can also use the opportunity to try to explore further the meaning of the experience for the client. "I don't believe that what you are telling me is true." "There are no religious cults in this area that are going to kill you." and "What makes you think that cult members are being sent to hurt you?" are nontherapeutic responses.
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