A nurse on a mental health unit is planning a group therapy session about assertiveness training. For which of the following clients should the nurse recommend the training?

A. A client who has new-onset delirium. Delirium is characterized by acute confusion, disorientation, and impaired cognition, making it difficult for the client to participate meaningfully in assertiveness training. The priority would be treating the underlying cause of delirium, such as infection or medication effects. B. A client who is experiencing auditory hallucinations. Hallucinations indicate active psychotic symptoms, which can impair concentration and the ability to engage in structured therapy. The client would first require stabilization with antipsychotic medications and reality-based interventions before participating in assertiveness training. C. A client who is experiencing mania. Clients in a manic state often display impulsivity, pressured speech, and hyperactivity, making it difficult for them to focus on structured therapy sessions. Mood stabilization through medication is necessary before engaging in assertiveness training. D. A client who has somatic symptom disorder. Individuals with somatic symptom disorder often struggle with expressing their emotional needs and may internalize distress through physical symptoms. Assertiveness training helps these clients develop healthier communication skills, enabling them to express their thoughts and emotions more effectively rather than manifesting distress through physical complaints.