Psychotic Disorders no. 4090

Psychotic Disorders no. 4090

QUESTION: A psychotic client reports to the evening nurse that the day nurse put something suspicious in his water with his medication. The nurse replies, "You're worried about your medication?" The nurse's communication is:

✘O a.) an example of presenting reality.
✘O b.) reinforcing the client's delusions.
✓O c.) focusing on emotional content.
✘O d.) a nontherapeutic technique called mind reading.

RATIONALE

RATIONALE: The nurse should help the client focus on the emotional content rather than delusional material. Presenting reality isn't helpful because it can lead to confrontation and disengagement. Agreeing with the client and supporting his beliefs are reinforcing delusions. Mind reading isn't an option.
NURSING PROCESS STEP: Implementation
CLIENT NEEDS CATEGORY: Psychosocial integrity
CLIENT NEEDS SUBCATEGORY: None
COGNITIVE LEVEL: Application