A client approaches the nurse and blurts out "You've got to help me! Something terrible is
happening. I'm falling apart. I can't think. My heart is pounding and my head is throbbing.".
The
nurse responds "It's almost time for visiting hours. Let's get your hair combed.". This interaction can
be evaluated as
a. a distracting technique to lower anxiety.
b. bringing up an irrelevant topic.
c. sensitive to physical needs.
d. addressing false cognitions.
ANS: B
The nurse has closed off client-centered communication and introduced an irrelevant topic, a ploy
designed to make the nurse, who is uncomfortable dealing with the client's severe anxiety, feel
better.
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