A client who experienced an amputation appears irritated during care and is unfriendly towards the nurse. The most appropriate statement by the nurse is:
1. "You seem angry."
2. "I am only trying to help."
3. "I can leave and come back later."
4. "Don't take your anger out on me."
Answer: 1
1. The nurse understands that the client is in the anger phase of the grieving process. To encourage verbalizing of feelings by the client, the nurse makes a reflective statement to help the client verbalize.
2. Telling the client the nurse is only trying to help is a defensive statement and may shame the client.
3. Leaving does not meet the client's needs.
4. Getting angry back is inappropriate and will not help the client to get at the anger or help the grieving process progress.
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