More Questions on the Topic
More Questions on the Topic ( 13 Questions)
A nurse is caring for a client who has been diagnosed with borderline personality disorder. The client becomes angry and verbally abusive when the nurse informs them that their visitation time is over. Which of the following is an appropriate response by the nurse?
"You have no right to talk to me like that. I am only doing my job." - This is a defensive and confrontational response that may escalate the situation and damage the therapeutic relationship. The nurse should not take the client's anger personally or react emotionally.
The nurse should respond with empathy and assertiveness, acknowledging the client's feelings but also setting clear and consistent boundaries. The nurse should explain the rationale for the policy and offer reassurance that the client can see their visitors again.
"If you continue to behave this way, I will have to call security and have them escort your visitors out." - This is a threatening and punitive response that may increase the client's fear of abandonment and provoke more hostility. The nurse should not use coercive or authoritarian tactics unless there is an imminent risk of harm.
"You are being manipulative and unreasonable. You need to calm down and accept the situation." - This is a judgmental and invalidating response that may make the client feel misunderstood and rejected. The nurse should not label or criticize the client's behavior or emotions.
Correct answer: B) "I understand that you are upset, but this is the policy of the unit. You can see your visitors again tomorrow."
Rationale: The nurse should respond with empathy and assertiveness, acknowledging the client's feelings but also setting clear and consistent boundaries. The nurse should explain the rationale for the policy and offer reassurance that the client can see their visitors again.
Incorrect options:
A) "You have no right to talk to me like that. I am only doing my job." - This is a defensive and confrontational response that may escalate the situation and damage the therapeutic relationship. The nurse should not take the client's anger personally or react emotionally.
C) "If you continue to behave this way, I will have to call security and have them escort your visitors out." - This is a threatening and punitive response that may increase the client's fear of abandonment and provoke more hostility. The nurse should not use coercive or authoritarian tactics unless there is an imminent risk of harm.
D) "You are being manipulative and unreasonable. You need to calm down and accept the situation." - This is a judgmental and invalidating response that may make the client feel misunderstood and rejected. The nurse should not label or criticize the client's behavior or emotions.