A disturbed client says, "The voices are saying that I killed my husband." How should the nurse respond?

Responding with "It sounds like you're feeling very distressed" acknowledges the client's experience with the voices they are hearing, which is critical in building trust and rapport. This kind of response reflects empathy and validates the client's emotional state without directly challenging or dismissing their perceptions.

Understanding that the client is experiencing a disturbance in reality is key to providing appropriate support. By recognizing their distress, the nurse creates a safe environment where the client feels heard and understood. This can help de-escalate anxiety and promote engagement in further communication.

Responses suggesting denial of the client's feelings or experiences could lead to increased distress or a feeling of isolation. Merely stating they are safe does not address the emotional turmoil expressed by the client, and suggesting to ignore their thoughts may inadvertently minimize what they are going through, which could hinder therapeutic communication. Engaging with the client about their feelings can foster a space for them to explore their thoughts in a therapeutic manner, but it may not be as immediate in addressing their distress as the correct response.