A patient with psychosis believes staff are poisoning the food and refuses meals. Which nursing response is most therapeutic?
Correct answer: B. "I do not share that belief, but I see you are afraid."
- A. "That belief is false, so you must eat now."
- B. "I do not share that belief, but I see you are afraid."
- C. "You should trust staff because we are professionals."
- D. "If you refuse food, treatment will be stopped."
Explanation
The nurse acknowledges the patient's fear without reinforcing the delusion or arguing about its truth. This approach maintains trust and allows the nurse to assess nutrition, hydration and possible risks while offering safe food choices.
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About Psychotic Disorders
Psychotic disorders involve disturbances in reality testing, including delusions, hallucinations, disorganized speech, disorganized behavior, and negative symptoms. Coverage includes schizophrenia and related disorders, assessment of thought content and perception, risk management, antipsychotic treatment, and the distinction between psychosis, delirium, substance effects, and mood disorders.
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