The nurse is talking with Karen, a client admitted with bipolar who is having auditory hallucinations. Karen says, "Do you hear those voices? They keep telling me that I should kill myself." Which of the following would be the nurse's best response?
A) "Why would the voices tell you to hurt yourself?"
B) "Are the voices telling you anything else?"
C) "I don't hear any voices, but you seem to be upset."
D) "There are no voices, are you sure you hear anything?"
Ans: C
Feedback:
Nurses do not argue with clients about the validity of hallucinations. Instead, they inform clients that they do not share the misperception. Another helpful strategy is to focus on a client's feelings about the hallucination, not the content itself ("You seem upset," not "Why would the voices tell you to hurt yourself?"). Nurses convey acceptance of and respect for clients while testing reality.
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