The spouse tells the nurse that the client is not making progress in developing a more positive self-esteem. What should the nurse respond to the spouse?
1. "Most clients make quicker progress"
2. "Self-esteem work takes time and is not easily evaluated."
3. "What have you done to help the client with this work?"
4. "Do you think that the client is really trying?"
Correct Answer: 2
Rationale 1: It is not appropriate to reinforce her feelings by comparing the client to other clients.
Rationale 2: It would be appropriate to respond that self-esteem work takes time and that improvement is sometimes not easy to evaluate.
Rationale 3: It is not appropriate to blame the spouse for the slowness by asking what has been done to help the client.
Rationale 4: It is not appropriate to instill doubt by asking if the client is really trying.
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