A client diagnosed with paranoid schizophrenia becomes agitated when asked to play a game. The client responds, "Do you want to be my girlfriend?" Which nursing response is most appropriate?
A. "You are upset now. It would be best if you go to your room until you feel better."
B. "Remember, we have a professional relationship. Are you feeling uncomfortable?"
C. "We have discussed this before. I am not allowed to date clients."
D. "I think you should discuss your fantasies with your therapist."
ANS: B
The nurse should promote the client's insight and perception of reality by confirming appropriate roles in the nurse–client relationship and identifying what is troubling the client in this situation.
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