<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 31-year-old woman comes to the physician because she thinks that her right wrist is broken. She says that she has severe pain and that the bone is sticking out. She has not had any trauma to the wrist. Her medical records indicate that she was diagnosed with schizophrenia 2 years ago and treated with olanzapine; she has not filled any prescriptions over the past 4 months. Three weeks ago, she stopped going to work because she did not feel like getting up in the morning. Vital signs are within normal limits. Physical examination of the right wrist shows no visible injury; there is no warmth, swelling, or erythema. Range of motion is limited by pain. On mental status examination, she has a flat affect. Her speech is pressured and she frequently changes the topic. She has short- and long-term memory deficits. Attention and concentration are poor. There is no evidence of suicidal ideation. Urine toxicology screening is negative. An x-ray of the wrist shows no abnormalities. Which of the following is the most appropriate response to this patients concerns?? A: I cannot see any injury of your wrist and the physical exam as well as the x-ray dont show any injury. I imagine that feeling as if your wrist was broken may be very uncomfortable. Can you tell me more about what it feels like?, B: I understand your concerns; however, your symptoms seem to be psychogical in nature. I would be happy to refer you to a mental health professional., C: I can imagine that you are uncomfortable. That certainly looks painful. Lets take care of this injury first and then we should talk about your problems getting up in the morning., D: It seems as though you are having a schizophrenia relapse. If you dont follow my recommendations and take your medications, you will most likely have further and possibly more severe episodes., E: You are clearly distressed. However, your tests do not suggest a physical problem that can be addressed with medications or surgery. I suggest that we meet and evaluate your symptoms on a regular basis.,  <response>: This is a patient with a history of schizophrenia who is presenting with somatic delusions believing her wrist is broken when there is no evidence of injury. She has stopped taking her antipsychotic medication and has signs of psychosis on exam pressured speech, tangential thoughts, memory deficits. The most appropriate response should validate her concerns without reinforcing the delusion. It should open a caring dialogue to understand her experience, while gently redirecting to the likely psychological basis. Confrontational or paternalistic statements may damage rapport. Referral to a mental health provider is appropriate, but should not be the sole focus.A: I cannot see any injury of your wrist and the physical exam as well as the x-ray dont show any injury. I imagine that feeling as if your wrist was broken may be very uncomfortable. Can you tell me more about what it feels like? 