Question about a client with mental health issues?I work in a place that sets up waiver services for people with physical disabilities(attendant care, transportation, etc). Often, my consumers have mental disorders (technically we aren't supposed to serve them if they have a primary diagnosis of mental disorders but primary and secondary don't seem very black and white in theses instances). Anyway, this consumer has problems getting around so I have him recieving sdervices to help with that. Lately, though, he's been contacting me in tears, telling me that his doctors are telling him that he needs heart and lung transplants, that they are going to put him in a nursing home, etc. I contacted his mental health case worker and she said, "Oh, that's not true, He makes this stuff up, it's just how he's always been." Ok, well fine, but what should I say to the guy? My hands are tied service-wise but should I just play along? Do I tell him that I know what he is saying is untrue? He is so upset and I'm just at a loss here...
Answer by NurseBunny
You never want to call him out on his lies...mental health patients like this, esp those with delusions, are unstable. The best thing you can do is neither play into or call him on it. Simply say "I'm sorry to hear that" and suggest that he speak with his case worker. Be sympathetic but not overly involved, you know? Don't ask questions or press him for details.
Answer by Hulalalala
As an RN too, I think nurse Buns answer is really good advice. Be sympathetic, but don't get involved!
Answer by Wondering Soul
When that has happened to me the last thing I want to do is make them feel wrong or make them angry because they really get themselves then. Usually, I try to listen. It does not always work because they really want attention but all we can do is either give it or not.
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