When a client undergoing alcohol detoxification sees bugs on the wall, how should the nurse respond?

In situations where a client undergoing alcohol detoxification experiences hallucinations, such as seeing bugs on the wall, it's important for the nurse to respond with both validation of the client's experience and reassurance. Acknowledging that the client is experiencing something distressing, while also clarifying the reality of the situation, helps build trust and rapport.

By stating that there are no bugs and offering to stay with the client, the nurse provides a sense of safety and support. This approach encourages the client to feel secure, knowing that they are not alone during a confusing and frightening experience. It also demonstrates an understanding of the client's emotional state—while their perception may be altered, the nurse's calming presence offers comfort and stability.

Other responses may either dismiss the client's experience completely or overly focus on addressing the hallucination by promising to remove the bugs, which may not effectively help the client feel supported or understood. Therefore, the chosen response is appropriate as it balances acknowledgment of the hallucination with offering reassurance and presence.