If a client with dementia states, "Everyone wants to kill me," how should the nurse respond?

Responding with, "You must feel very frightened to think someone wants to hurt you," is the most appropriate approach in this scenario involving a client with dementia. This response acknowledges the client's feelings and emotional state, which is crucial when interacting with individuals experiencing cognitive impairments. It demonstrates empathy and validation, allowing the client to express their fears without dismissal.

Acknowledging the client's feelings can help to build trust and create a sense of safety. It shifts the focus away from the delusion or confusion and instead centers on the emotional experience that the client is undergoing. This empathetic response can help de-escalate any anxiety or agitation the client may be feeling and opens the door for further conversation, allowing the nurse to assess the situation more thoroughly and provide appropriate support.

In contrast, other options may inadvertently minimize the client’s feelings or lead to further confusion. For example, telling the client that they are confused may invalidate their experience. Dismissing their statement as untrue can also alienate them, making them feel less secure. Overall, validating feelings is a key aspect of effective communication in mental health care, especially with clients who may have distorted perceptions of reality.