While providing care to a client with a mental disorder, the client asks the nurse, "Does mental illness run in your family?" Which response by the nurse would be most inappropriate?
A) "Mental illnesses do run in families, and I've had a lot of experience caring for people with mental illness."
B) "It sounds like you are concerned that there may be a family connection to your current problem?"
C) "Yes, it does. I have a sister who was diagnosed several years ago with severe major depression."
D) "Mental illness can be family related. Let's focus the discussion on you and how you're doing today."
Ans: C
The statement about the nurse's sister suffering from depression is inappropriate because it involves self-disclosure that serves no therapeutic purpose. In addition, it ignores the underlying concern of the client's statement: mental illnesses and family. The statements about having experience dealing with mental illnesses, sounding concerned about a family connection, and focusing the discussion on the client serve to redirect the interaction back to the client.
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