When your are administering medications to a client with human immunodeficiency virus (HIV), the client states, "I should just stop taking them and get it over with." A therapeutic response by the nurse would be
a. "You have to take these! If you stop you will get very sick."
b. "You're just feeling depressed right now. You'll feel better later."
c. " Tell me more about what you're feeling."
d. "You have the right to refuse treatment."
ANS: C
Therapeutic relationships should directly revolve around the client's needs and each person's individualized expression of them. Using questions that follow a logical sequence and asking only one question at a time are practices that help clients feel more comfortable and are likely to elicit more complete data. Dealing with the client's feelings with a statement such as, "Tell me more about…" keeps the conversation flowing. The client has the right to choose a course of action, even when it is at odds with the nurse's ideas. The nurse stating how the client is feeling is an assumption by the nurse about what the client is feeling. Although the client has the right to refuse treatment, he is not really saying that he will refuse. The nurse needs to obtain more information.
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