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A nurse is caring for a client who reports that the TV set in the room is really a 2-way radio and states, Voices are coming from the TV, and everything we say in this room is being recorded. Which of the following responses should the nurse offer?

a. What we say is not being recorded.
b. Let's ignore the voice and talk about something else.
c. That must be very frightening.
d. Why do you think the TV is a 2-way radio?

1 Answer

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Final answer:

When a client expresses a belief that they are being recorded via the TV, a nurse's response should be empathetic, such as expressing understanding that this must be very frightening for the client.

Step-by-step explanation:

A client who believes that the TV set in their room is a 2-way radio and is voicing concerns about being recorded might be experiencing signs of paranoia or a psychotic symptom. An effective response from the nurse would be empathetic and non-confrontational. The suggested options for responses include reassuring the client that their conversations are not being recorded, attempting to redirect the conversation, expressing empathy about the client's fear, or inquiring further about the client's beliefs. In practice, option C, "That must be very frightening," is often recommended as it acknowledges the client's feelings without confirming or denying their delusion, which can help build trust and provide comfort.


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