An adolescent client is attempting to manipulate the nurse into giving a special privilege. The nurse recognizes the manipulation and responds by saying:
1. "All the clients must follow the rules."
2. "If I do it for you, I would have to do it for everyone."
3. "If I granted you that privilege, I'd be in trouble"
4. "That would not be fair to the others."
1
Rationale: The correct response is to state the expectations for behavior on the unit and be clear that there is no room for exceptions. Stating the rules helps to reinforce the boundaries and prevents the nurse from getting into a power struggle. The other choices ("If I granted you that privilege, I'd be in trouble"; "That would not be fair to the others"; and "If I do it for you I would have to do it for everyone") are an attempt to induce feelings of guilt and place the decision-making in the power of the adolescent.
You might also like to view...
The nurse is caring for a patient with active acquired immune deficiency syndrome (AIDS) in an intensive care unit. What is the most important component of care for this patient?
A) Psychological support B) Infection control measures C) Prophylactic antibiotics D) Neutropenic precautions
A child has truncus arteriosus with hypotension and poor perfusion. Which medication does the nurse prepare to administer?
A. Amiodarone (Cordarone) B. Clopidogrel (Plavix) C. Dopamine (Intropin) D. Isoproterenol (Isuprel)
A nurse observes yellow-tinged sclera on a client with dark skin. Based on this observation, what is the nurse's best action?
A. Examine the soles of the client's feet. B. Nothing; this is a normal finding in all people with dark skin. C. Inspect the client's oral mucosa and hard palate for other indications of jaundice. D. Notify the physician of the possibility that the client has a liver or hemolytic dis-order.
The client has hyperthyroidism. The nurse teaches the client to avoid which food selections?
1. Soy sauce 2. Milk products 3. High-calorie foods 4. Caffeine-free soda