The nurse brings the client's medications into the room and the client shouts, "You don't care if I take these, so get out of my room!" Which response by the nurse is most likely to diminish the client's anger?
1. "Who misinformed you about my feelings?"
2. "You seem very angry about the medications.".
3. "We know each other; why are you saying this?"
4. "I cannot leave until you take these medications.".
2
2. To neutralize the situation, the nurse confirms a conclusion about the client's actions and encourages the client to communicate about the anger to help to keep the client in control and elicit more discussion about the client's emotional state. The nurse's statement also expresses caring and value for the client.
1. Confronting the client with questions is more likely to escalate anger and force the client to justify statements.
3. Questions beginning with "why" are confrontational and not likely to diminish anger. In addition, saying "we know each other" implies a social relationship that crosses professional boundaries.
4. The nurse attempts to control the client by stating the medications must be administered before leaving and the nurse can succeed with administering the medications in this manner; however, controlling behavior is confrontational because the nurse engages the client in a power struggle and misses an opportunity to explore the client's anger. Forcing the client in this manner is unlikely to elicit client cooperation in the future because the nurse displayed a lack of caring and respect.
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