A patient is pacing in the hall when the nurse overhears the patient say, "Leave me alone. I am not in the Mafia." What is the best response from the nurse?
1. "Tell me, are you hearing voices again?"
2. "Tell me what you are hearing right now."
3. "You are safe from the Mafia here in the hospital."
4. "You need to attend the next recreation group. That will help you ignore the voices."
Answer: 2
Explanation: "Tell me what you are hearing right now" is an open statement that invites the patient to describe what the patient is experiencing to the nurse. The nurse does not presume to know what the patient is experiencing. "Tell me, are you hearing voices again?" is a close-ended question that invites only a year or no answer and assumes the patient is hearing voices. "You need to attend the next recreation group. That will help you ignore the voices" does not ask for an explanation of the patient's experiences and implies that a patient can ignore voices. "You are safe from the Mafia here in the hospital" does not ask for an explanation of the patient's experiences and may not be addressing the patient's needs at this time.
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