The most therapeutic response the nurse can give is, "It can be frightening to feel that way."
High anxiety levels lead to depersonalized communication, and the client would worry if they received an empathic answer. Asking the question, "May I examine your arms?" validates the client's hallucination and the client's scary experience is not acknowledged. Asking the question, "When did this feeling start?" is irrelevant, as the nurse needs to focus on what the client is going through right now rather than when the feeling first appeared. A therapeutic relationship may be difficult to build if the client's sentiments are minimized with the statement "That's a rather unusual sensation."
Therefore, the best response for the nurse will be "It can be frightening to feel that way."
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