The nurse is talking with a young male client and has 5 minutes to go in the session with him. He
has been silent and sullen most of the session and has been staring at the floor for the last 10
minutes.
A troubled young woman comes to the door of the room and says to the nurse, "I really
need to talk to you.". The nurse should
a. tell the woman she is busy at the present time.
b. end the session and spend time with the young woman.
c. invite the woman to sit down and join in the session with the other client.
d. tell the woman that the session with this client will take 5 more minutes, after
which the nurse will talk with her.
ANS: D
When a specific duration for sessions has been set, the nurse must adhere to the schedule. Leaving
the first client would be equivalent to abandonment and would destroy any trust the client had in the
nurse. Adhering to the contract demonstrates that the nurse can be trusted and that the client and the
sessions are viewed as important. Option A preserves the nurse-client relationship with the young
male client but may seem abrupt to the young female client. Option B abandons the young male
client. Option C does not observe the contract with the young male client.
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