The nurse is initiating a group for adolescent girls diagnosed ...

[TVarnum]

The nurse is initiating a group for adolescent girls diagnosed with anorexia nervosa. Many of the clients in the group are irritable and resent having to attend.
 
  One of them comments, This is a stupid waste of time Which of the response by the nurse would be most appropriate?
  A) If you feel that way, then you can just leave.
  B) You sound irritated; tell me about what is bothering you.
  C) You were assigned to this group by your therapist, so you must participate.
  D) Sit down and be quiet; your peers would appreciate some peace and quiet.

Question 2

While improving, a client demands to have a phone installed in the intensive care unit (ICU) room. When a nurse states, This is not allowed; it is a unit rule, the client angrily demands to see the doctor.
 
  Which approach should the nurse use in this situation? A. Provide an explanation for the necessity of the unit rule.
  B. Assist the client to discuss anger and frustrations.
  C. Call the physician and relay the request.
  D. Arrange for a phone to be installed in the client's unit room.

[Cnarkel]

Answer to Question 1

B

Answer to Question 2

B
Clients who demand special privileges may be diagnosed with narcissistic personality disorder. The best approach in this situation is for the nurse to identify the function that anger, frustration, and rage serve for the client. The verbalization of feelings may help the client to gain insight into his or her behavior.