A novice nurse asks the assigned mentor, "Why should I avoid telling the patient that his ideas are bizarre and simply not logical?" The mentor responds, "If you do that:
a. it will give the patient the basis for beginning to self-reflect on the delusions.".
b. the patient will probably incorporate you into the delusions as a persecutor.".
c. it will be difficult to use empathy and calmness to foster the patient's trust.".
d. you will have little chance of gaining the patient's cooperation.".
C
Developing trust is fundamental to working with a delusional patient. Much assessment data must be gathered before questioning the facts and their meaning and discussing the consequences of the delusion.
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