While improving, a client demands to have a phone installed in the intensive care unit (ICU) room. When a nurse states, "This is not allowed; it is a unit rule," the client angrily demands to see the doctor

Which approach should the nurse use in this situation? A. Provide an explanation for the necessity of the unit rule.
B. Assist the client to discuss anger and frustrations.
C. Call the physician and relay the request.
D. Arrange for a phone to be installed in the client's unit room.


B
Clients who demand special privileges may be diagnosed with narcissistic personality disorder. The best approach in this situation is for the nurse to identify the function that anger, frustration, and rage serve for the client. The verbalization of feelings may help the client to gain insight into his or her behavior.

Nursing

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