Cognitive Disorders: Dementia and Delirium · NCLEX Exam

What is the nurse’s best initial response when a patient with delirium says, “There are snakes in my bed”?

  1. “There are no snakes here, so please stop imagining things.”
  2. “You are hallucinating because of your current illness.”
  3. “I can see you’re frightened. Let’s look together so you feel safe.”
  4. “You really need to calm down now and go back to sleep.”
Show answer and explanation

Correct answer: “I can see you’re frightened. Let’s look together so you feel safe.”

Acknowledging the patient’s fear and providing reassurance without reinforcing the delusion promotes trust and reduces anxiety.

Difficulty: Medium Question 13 of 20

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