A client confides to the nurse that she feels guilty about the poor relationship she had with her mother-in-law, who is now deceased
The client tells the nurse that she is sure God will punish her for this and that she needs to con-fess her sins to someone. The nurse's best response is:
1. "Would you like to speak to the chaplain when he comes later today? In the meantime, we could talk about your relationship with your mother-in-law."
2. "It sounds as if you need to talk about this. Let's sit down in a private area. I'd like to know more about your relationship with your mother-in-law."
3. "We all have trouble with our in-laws occasionally. God doesn't punish us for that."
4. "What's done is done. We need to focus on your positive qualities."
ANS: 1
The client has identified a specific spiritual problem that a chaplain would be equipped to handle, so a referral is appropriate. The nurse, in the meantime, is equipped to discuss relationship issues. In option 2, the nurse sounds curious (even a bit nosy). Option 3 minimizes the client's feelings. Option 4 dismisses the client's needs.
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