A nurse is taking care of an adult client who is experiencing increased anxiety and an inability to concentrate. Which of the following responses should the nurse make?
Explanation & Rationale
Choice A Reason:Asking "How long has this been going on?" is a relevant question that can help the nurse understand the duration of the client's anxiety and concentration issues. However, it may not immediately provide the empathetic connection that can encourage the client to open up more about their feelings.Choice B Reason:"It sounds like you're having a difficult time" is an empathetic statement that acknowledges the client's distress and can help establish rapport. This response validates the client's feelings and invites them to share more about their experience, which is essential in forming a therapeutic nurse-client relationship.Choice C Reason:"Why do you think you are so anxious?" could prompt the client to reflect on possible causes of their anxiety, but it might also be perceived as confrontational or accusatory. It's important for the nurse to create a nonjudgmental atmosphere that encourages open communication.Choice D Reason:"Have you talked to your parents about this yet?" assumes that the client's parents are part of their support system and that the client is willing or able to discuss their anxiety with them. This question might not be appropriate for all clients, especially if family relationships are a source of stress.