A nurse becomes hostile and angry with a patient who has sexually abused a child.

What is this an example of?

Choice A rationale
The nurse’s response of asking the client, “How do you feel about being discharged?” is the most therapeutic. This open-ended question encourages the client to express their feelings and concerns about being discharged. It allows the nurse to assess the client’s readiness for discharge and to provide appropriate education or referrals if needed. It also demonstrates empathy and respect for the client’s feelings, which are key components of a therapeutic relationship.
Choice B rationale
Telling the client, “I will send you a note in a few weeks,” is not the best response. While it may seem like a kind gesture, it could potentially blur the boundaries of the therapeutic relationship. Nurses must maintain professional boundaries with clients to ensure that the focus remains on the client’s needs and not the personal feelings or needs of the nurse.
Choice C rationale
Saying, “I know you will do well living out in the community,” is an assumption and does not invite the client to share their feelings or concerns. It’s important for the nurse to encourage the client to express their feelings about discharge and to provide support and education based on the client’s individual needs.
Choice D rationale
Asking the client, “Aren’t you excited about being discharged today?” is a closed-ended question that assumes the client is excited about discharge. This type of question does not encourage the client to share their feelings or concerns. It’s important for the nurse to use open-ended questions to encourage the client to express their feelings about discharge.

Choice A rationale
While sadness can be a symptom of many mental health issues in children, it is not typically considered a warning sign of violence.
Choice B rationale
Use of alcohol is a warning sign of violence in children. Substance abuse can impair judgment, increase impulsivity, and lead to aggressive behavior.
Choice C rationale
Relationship difficulties can be a symptom of many mental health issues in children, but they are not typically considered a warning sign of violence.
Choice D rationale
Though thought disorders can lead to behavioral problems, they are not directly associated with violence in children.