An older female resident lowers her voice and tells the nurse that another female resident is looking at her behind her back and is going to make her move tonight with a male staff member
Which ideas should the nurse include in the response to this individual? a. The staff receives training in ethics.
b. Validate the woman's impression.
c. Avoid suspicious, paranoid thinking.
d. Use the call bell if she becomes frigh-tened.
D
Telling the resident to use the call bell if she becomes frightened offers assurances to the patient that she will be protected, but it neither confirms her suspicions nor makes a promise that cannot be kept. Replying that the staff receives training in ethics sounds as if the nurse is arguing in de-fense of the male staff member and does not help alleviate the resident's fear, which can lead her to suspect that the nurse is also a part of the plot. Validating the woman's impression contributes to the resident's suspicions; in addition, the nurse increases professional liability risks by speaking about another resident in a negative manner. Telling the resident to avoid suspicious, paranoid thinking only aggravates the struggle for control.
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