Schizophrenia: NCLEX Style Question - How to respond to a cli ...

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Question Number 2:
The client states “I am the king of the world!” Which of the following is an appropriate response by the nurse?
A. “And I am your servant.”
B. “Where are your kingsmen?”
C. “You are now at the hospital, and I am your nurse.”
D. “Would his royal highness be so kind to take his medications for the day?”

The correct answer is C. This is an appropriate response because it attempts to bring the focus of the conversation into reality-based topics rather than on the verbalized delusion. The other responses would only play into this patient’s delusional world and would not be therapeutic. Schizophrenic patients may experience delusions of grandeur which is a false belief that one is a powerful and important person."

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