What is the appropriate reaction if a patient expresses a delusion?

When a patient expresses a delusion, acknowledging their feelings is vital in establishing rapport and creating a safe environment for communication. This approach allows the healthcare provider to validate the patient's emotional experience without endorsing the delusion itself. By acknowledging their feelings, the nurse demonstrates empathy and understanding, which can help the patient feel heard and less isolated in their experience.

This method also opens the door to further dialogue, where the healthcare provider can gently steer the conversation towards the reality of the situation. It helps in maintaining a therapeutic relationship, as patients with delusions may be particularly sensitive and defensive about their beliefs. Understanding their emotional state allows for better assessment, intervention, and ultimately supports the patient in focusing on reality without direct confrontation that might lead to resistance or escalation.