When entering a room to perform an assessment the client states: "I want the head nurse. I am an important client. Don't bother me with little people." The best response by the nurse would be:
1. "Do not talk down to me like that."
2. "I will call the head nurse."
3. "All the clients here are important."
4. "We might have to discharge you."
Answer: 3
1. Returning anger has no effect on this client; in fact, it might be the goal.
2. Giving in to such requests will cause more problems for the entire unit. The nurse is calm but firm with the client.
3. Explaining that all the clients are important might work for a time. The nurse continues with care in a professional manner. It might take a few times for the client to get the idea that nurses will not be ordered around.
4. Telling the client that the doctor might discharge him is issuing a threat, which is not permissible.
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