NCLEX-PN

Category - Psychosocial Integrity

The nurse is caring for a client with active auditory hallucinations. During the rounds, the client tells the nurse, “I can hear the soldiers coming. They are out to torture me and everyone else in this room.” The nurse says, “I know the voices are real for you, but I do not hear them.” The nurse utilized which therapeutic technique?
  1. Voicing doubt
  2. Presenting reality
  3. Placing an event in time or sequence
  4. Encouraging description of perception
Explanation
Answer: B - Offering a view on what is observed or heard without arguing with a client indicates presenting reality. The other options are not accurate.
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