A delusional client walks up to the nurse and says, "I am the appointed overseer. Who are you and why are you here?" The most therapeutic response is which of the following?
1. "I am your nurse and I will be here to help you until suppertime."
2. "You don't know who I am?"
3. "You know who I am."
4. "You are not the overseer; you are a client in the hospital."
1
Rationale: Responding with "I am your nurse" is an example of giving information; the nurse responds to the client's request without getting into a confrontation and conveys respect. The responses either asking if the client knows who the nurse is, or stating that the client knows the nurse are not therapeutic and may be perceived as challenging to the client. Stating that the client is not the overseer and reminding the client of inpatient status provides the client with information and presents reality, but the information does not provide the client with a response to the question, "Who are you and why are you here?"
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