NCLEX-PN

Category - Psychosocial Integrity

The nurse assists in facilitating a group therapy session. In the middle of the discussion, a male client with mania begins to swear and curse at another member. Which of the following responses by the nurse is the most appropriate?
  1. “You are getting verbally abusive. Your behavior is not acceptable.”
  2. “Your behavior is not acceptable. Let’s go for a walk.”
  3. “You have no right to speak with a group member like that. Are you aware of your behavior?”
  4. “Any form of abuse is not tolerated. Leave the room immediately.”
Explanation
Answer: B - If a client becomes abusive, the nurse should let the client know that the behavior is unacceptable without embarrassing the client in front of everyone. Inviting the client to go for a walk can help the client release the extra energy. The other options are not appropriate.
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