In planning care for a client who is gaining mental stability, the nurse develops measures to confirm the client's view of self. Which of the following responses made by the nurse would be categorized as disturbed communication?
1. "I do not understand what you are telling me."
2. "You are wrong."
3. "How might you go about that differently?"
4. "Do you want to try that again?"
2
Rationale: Telling clients that they are wrong is an example of rejection. Communication that rejects the other's sense of self creates a disturbance in communication and can affect the relationship. Indicating that the nurse does not understand what is being said communicates information about the message, not the individual. Asking if the client wants to try again provides the client with control. Asking how the client might do something differently encourages the client to develop another plan, focusing on the action and not the individual.
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