Psychotic Disorders no. 4061
QUESTION: Every day for the past 2 weeks, a client with schizophrenia stands up during group therapy and screams, "Get out of here right now! The elevator bombs are going to explode in 3 minutes!" The next time this happens, how should the nurse respond?
✘O a.) "Why do you think there is a bomb in the elevator?"
✘O b.) "That is the same thing you said in yesterday's session."
✓O c.) "I know you think there are bombs in the elevator, but there aren't."
✘O d.) "If you have something to say, you must do it according to our group rules."
RATIONALERATIONALE: Option 3 is the most therapeutic response because it orients the client to reality. Options 1 and 2 are condescending. Option 4 sounds punitive and could embarrass the client.NURSING PROCESS STEP: ImplementationCLIENT NEEDS CATEGORY: Psychosocial integrityCLIENT NEEDS SUBCATEGORY: NoneCOGNITIVE LEVEL: Knowledge