A client states, "I can't sleep all night because the nurses are noisy." Which of the following responses by the nurse best represents the nurse's recognition of the client's theme?
a. "I will speak to the supervisor about your complaint."
b. "You cannot sleep because of the noise level at night?"
c. "You need to understand that nurses communicate with other clients during the night."
d. "I will tell the night nurses that you complained."
ANS: B
Listening for themes requires observing and understanding what the client is not saying, as well as what the person actually reveals. Identifying the underlying themes presented in a therapeutic conversation can relieve anxiety and provide direction for individualized nursing interventions. Speaking to a supervisor, explaining that nurses communicate with other clients during the night, and telling the night nurse of the complaint are actions by the nurse, not identification of themes.
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