Which client statement should a nurse identify as a typical response to stress most often experienced in the working phase of the nurse–client relationship?
A. "I can't bear the thought of leaving here and failing."
B. "I might have a hard time working with you. You remind me of my mother."
C. "I can't tell my husband how I feel; he wouldn't listen anyway."
D. "I'm not sure that I can count on you to protect my confidentiality."
ANS: C
The nurse should identify that the client statement "I can't tell my husband how I feel; he wouldn't listen anyway" reflects resistance to change, which is a common behavior in the working phase of the nurse–client relationship. The working phase includes overcoming resistant behaviors on the part of the client as the level of anxiety rises in response to discussion of painful issues.
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