A nurse is leading a family therapy session for a mother, father, and two adolescent siblings. Which of the following statements should the nurse recognize as an example of manipulating?
’She is always bossing me around. Should she do that?”
'Can you tell me the reason you get so upset when I go to the mall.”
’Please do not raise your voice at the children. I am the one who left the dishes in the sink.”
'If you keep saying that. I will tell everyone what you did last night.”
The Correct Answer is D
Explanation: Manipulation involves using indirect, underhanded, or deceptive tactics to control or influence others. In this statement, the speaker is using a veiled threat to control the behavior of another person.
This is an example of manipulative behavior, and the nurse should recognize it as such.
Option A is an example of a statement seeking clarification, not manipulation. The sibling is asking a question about the behavior of the other sibling.
Option A is an example of a statement aimed at understanding the other person's behavior, not manipulation.
Option C is an example of taking responsibility for one's actions and setting boundaries, not manipulation
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Correct Answer is D
Explanation
This response is open-ended and non-judgmental, allowing the client to reflect on their behavior and share their thoughts and feelings. It also avoids blaming the client or making assumptions about their intentions, which could escalate the situation and damage the therapeutic relationship.
Option A, “I feel angry when I hear that tone of voice,” focuses on the nurse's own feelings and could be perceived as confrontational or defensive.
Option B, “You make me so angry when you talk to me that way,” places blame on the client and may trigger a defensive response.
Option C, “Are you trying to make me angry?” is also confrontational and may be interpreted as accusing the client of intentionally provoking the nurse.
Correct Answer is A
Explanation
Transference is a phenomenon in which a person unconsciously redirects feelings and emotions from one person to another. In this case, the client is redirecting feelings and emotions associated with his stern aunt onto his assigned nurse. This can affect the nurse-client relationship and should be addressed in therapy.

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