A nurse is initiating a group for adolescent girls diagnosed with anorexia nervosa. Many of the clients in the group are irritable and resent having to attend. One of them comments,
"This is a stupid waste of time!" Which response by the nurse would be most appropriate?
A) "If you feel that way, then you can just leave."
B) "You sound irritated; tell me about what is bothering you."
C) "You were assigned to this group by your therapist, so you must participate."
D) "Sit down and be quiet; your peers would appreciate some peace and quiet."
Ans: B
A nonjudgmental, accepting approach is best when working with clients with anorexia. This response is nonjudgmental and accepting; it also gives the client feedback about how the client is perceived by others and conveys that the nurse is interested in what the client is feeling. It is best to avoid a power struggle over control issues. Telling the client to leave or to sit down and be quiet is not therapeutic.
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