A nurse is leading a small group of hospitalized clients diagnosed with psychiatric disorders. One group member has asked for advice and often agrees with suggestions by other group members, but then adds,
"Yes, but . . ." to every suggestion offered. Which response by the nurse would be most appropriate?
A) "Things would probably work out better if you joined a different group."
B) "Do you realize you say, 'Yes, but . . .' to every suggestion the group has for you?"
C) "I suggest you stop and think about why you always respond to suggestions with 'Yes, but . . .'"
D) "What solution do you think would work best for you?"
Ans: D
With a client who agrees initially then continually says, "Yes, but . . .," the nurse should encourage that person to formulate his or her own solutions. The leader can serve as a role model of the problem-solving behavior for the other members and encourage them to let the member develop a solution that would work specifically for him or her. Telling the client to join a different group is demeaning and does not address the client's problem. Asking the client if he or she realizes the response, or telling the client to stop and think about why, could be threatening to the client's self-esteem.
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