A nurse is providing care to a client with Alzheimer's disease who is exhibiting suspiciousness and delusional thinking. Which of the following would be most important for the nurse to do with this client?
A) Tell the client that he is experiencing delusions.
B) Confront the client about his distorted thinking.
C) Correct the client's interpretation of the situation.
D) Determine the trigger for the distorted thinking.
Ans: D
Suspiciousness and delusional thinking must be addressed to be certain that they do not endanger the client or others. Often, delusions are verbalized when clients are placed in situations they cannot master cognitively. The principle of nonconfrontation is most important in dealing with suspiciousness and delusion formation. No efforts should be made to ease the client's suspicions directly, or to correct delusions. Rather, efforts should be directed at determining the circumstances that trigger suspicion or delusion formation, and creating a means of avoiding these situations.
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