A client being treated for a myocardial infarction has been transferred to a step-down unit from the
intensive care unit. She uses the call bell as often as every 15 minutes.
She makes a seemingly small
request or complains each time a staff member is summoned. Several staff tell the primary nurse that
the client is "obnoxious" and that they feel inadequate because they can never seem to satisfy her
needs. The primary nurse can be most helpful by
a. explaining that the client's anxiety is being demonstrated by demanding
behaviors.
b. "laying down the law" to the client and saying she may use the call light once
hourly.
c. rotating caregivers each day to give staff a much-needed respite from her
complaints.
d. offering to co-assign an agency temporary nurse to the client to share the burden.
A
Teaching staff the probable basis for the behavior will change their perspective. They will realize the
problem is anxiety expressed as self-centeredness, rather than perversity, and that they are not
inadequate to the task of lowering the client's anxiety. They must address the anxiety rather than the
complaints. Option B will only increase the client's anxiety. Options C and D do not address the
client's real need for anxiety reduction.
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