The manipulative patient approaches the nurse and says, "I know it's too early to give me my pain medication, but you are the only one who seems to care. Could you give me my pain medi-cation now?" The best response would be:
a. "The charge nurse is really tough about scheduled medications. She would be very angry with me if I gave you the medica-tion now."
b. "I know how it is when you are in pain. I'll give you your medication early."
c. "Your medication is due in 2 hours. I will be glad to give it to you on schedule."
d. "It makes me feel good to know you are appreciative of our care. Here is your me-dication."
C
Setting clear limits is important when managing manipulative patients. Once limits are set it is important to maintain them. Blaming the charge nurse provides incentive for further manipulative behaviors. The nurse telling the patient that they know what it is like when they are in pain is not accurate or therapeutic. Providing the medication early likely does not follow the prescribed plan.
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