A client on a psychiatric unit complains to the night shift nurse that the nurses on the other shifts do not know how to help the clients nearly as well as the night shift nurse. The client urges the night shift nurse to switch to another shift
The MOST therapeutic response from the night shift nurse would be to say: a. "I'm not in control of the schedule. You'll need to talk to the head nurse about rearranging the staff schedule."
b. "It's funny you should tell me that; other clients have said the same thing to me. I guess I just have a knack for getting along well with others."
c. "I'm sorry to hear that. Maybe I can help the others do a better job so that you get more help on all of the shifts."
d. "All of the nurses here are very skilled and well trained. If you have something to say about a particular nurse, it would be best if you spoke directly to that nurse."
D
The nurse should explain to the client that all nurses at the facility are very skilled and well trained. Furthermore, the nurse should instruct the client that if he has an issue with a particular nurse, it would be best if he brought that issue up directly with the nurse in question. The client's behavior is known as "splitting." Clients with personality disorders have developed manipulative behaviors to get what they want from others. Such behaviors may include splitting, seduction, flattery, guilt instilling, and in some cases intimidation. The nurse should be aware of these tactics and take steps to prevent or reduce such behaviors.
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