A client who is being discharged offers the nurse a ceramic bowl made during hospitalization as a symbol of the open "vessel" the client has become for accepting new ideas. What is the best response by the nurse?
1. "This is a beautiful gesture, I will place it in the day room for everyone to enjoy."
2. "I wish I could accept this, but you know I'm not allowed to."
3. "Let me pay you for this. I don't feel I should just accept it after all the hard work you put into it."
4. "You worked very hard on becoming receptive to new ideas this past month; I would be honored to accept this symbol of your progress."
4
Rationale: Gifts are most often given during the termination phase of one-to-one relationships. It is appropriate to accept a gift if feelings and the motive for giving the gift have been clarified. Placing a breakable object in the day room of an inpatient unit is inappropriate due to safety risks. Refusing to accept the gift is a personal choice the nurse could make; however, the client may feel disappointed and rejected by this refusal. Paying the client for any item is discouraged and usually against hospital policy.
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