A patient with acute psychosis insists that the television presenter is sending secret personal messages. Which response by the nurse is most therapeutic?
Correct answer: B. “I do not share that belief, but I know it feels real to you.”
- A. “That belief is completely impossible.”
- B. “I do not share that belief, but I know it feels real to you.”
- C. “Tell me exactly what the presenter wants you to do.”
- D. “You should watch another programme to test the message.”
Explanation
The nurse acknowledges the patient's experience without agreeing with the delusion and gently presents reality. Arguing can increase mistrust, while exploring or testing the message may reinforce the false belief.
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About Psychiatric Emergencies
Psychiatric emergencies include suicidal behavior, homicide risk, severe agitation, panic, acute psychosis, delirium, overdose, and withdrawal states. Students examine rapid risk assessment, crisis intervention, de-escalation, environmental safety, emergency medication, observation levels, and the immediate priorities that differ from routine psychiatric nursing care.
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