While interviewing the client during the focused interview, the client begins to cry softly. Which of the following interventions by the nurse are appropriate? Standard Text: Select all that apply
1. The nurse states, "It's all right, I think we're done with the interview."
2. The nurse places the tissues within arm's reach of the client.
3. The nurse remains quiet until the nurse feels that the client is prepared to proceed with the interview.
4. The nurse states, "I don't like these questions any more than you do, but we need to get on with the interview so you can go home and cry later."
5. The nurse states, "I can see you are upset. It's all right to cry."
2,3,5
Rationale 1: The nurse states, "It's all right, I think we're done with the interview." It is not appropriate to conclude the interview. There may be something that can help the nurse create a better care plan for the client if the nurse continues with this line of questioning.
Rationale 2: The nurse places the tissues within arm's reach of the client. When the client begins to cry or exhibits cues that the client may feel like crying, the nurse should place tissues within close proximity to the client.
Rationale 3: The nurse remains quiet until the nurse feels that the client is prepared to proceed with the interview. It is appropriate for the nurse to remain quiet while the client cries.
Rationale 4: The nurse states, "I don't like these questions any more than you do, but we need to get on with the interview so you can go home and cry later." It is appropriate for the nurse to give the client permission to cry. Some people need the assurance that it is okay to cry and feel sad.
Rationale 5: The nurse states, "I can see you are upset. It's all right to cry." The nurse should not hurry the interview along or not provide time for the client to display emotion.
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