A patient with schizophrenia calls the nurse into the room and says, "Help me! The books are on fire!" Which response by the nurse is best?
a. "I'll get some water and put it out."
b. "That's crazy; you know the books are not on fire!"
c. "You don't have any books; how could they be on fire?"
d. "I do not see any fire. Here is your supper; it's time to eat."
ANS: D
The nurse needs to validate that the patient's comment was heard but then needs to bring the patient back to reality by saying that it is time for a meal. A. Putting water on it is inappropriate—there is no fire. B. Telling a mental health patient he or she is crazy is inappropriate. C. The nurse cannot use logic such as saying that the patient does not have any books. A patient with schizophrenia may be unable to see logic.
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