As a nurse attendant enters the client’s room, the client says, “Bugs are crawling on my sheets! Get them off my bed!” Which of the following responses is the most appropriate?
  1. “Don’t worry, I’ll stay here and brush away the bugs for you.”
  2. “Try to relax. The crawling sensation will go away sooner if you can relax.”
  3. “There are no bugs on your sheets. It’s just your imagination playing tricks on you.”
  4. “I know you’re frightened. I don’t see bugs crawling on your sheets, but I’ll stay with you.”
Explanation
Answer: D - The best response is, “I know you’re frightened. I don’t see bugs crawling on your sheets, but I’ll stay with you.” Never argue about hallucinations with a client. Instead, promote an environment of trust and safety by acknowledging the client’s perceptions.
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