A nurse is reinforcing teaching to a client who is to undergo transcranial magnetic stimulation (TMS) for depression. Which of the following information should the nurse provide?

A. "Avoid looking at other clients on the unit." Distractions reduce the quality of communication and make the client feel undervalued. Focusing on the client demonstrates attentiveness and encourages open dialogue. Looking at others while a client speaks may suggest disinterest. Giving full attention strengthens therapeutic relationships and supports effective listening.
B. "Interrupt the client's statement to clarify thoughts or ideas." Interrupting can disrupt the client’s thoughts and make them feel unheard. Active listening requires patience, allowing the client to speak fully before responding. Clarifications should be made after they finish to ensure understanding. Frequent interruptions may hinder trust and open communication.
C. "Show emotion when a client is disclosing sensitive information." While empathy is important, excessive emotional reactions can shift focus away from the client. A calm and composed demeanor helps maintain a supportive environment. Overreacting may make the client feel uncomfortable or hesitant to share. Active listening involves offering validation without overwhelming emotional responses.
D. "Keep direct eye contact to a minimum." Eye contact conveys attentiveness and respect, helping to establish rapport. Avoiding eye contact may make the client feel ignored or dismissed. However, excessive staring can be intimidating, so a balanced approach is best. Appropriate eye contact fosters trust and enhances communication.

A. Tell the client that there is nothing there. Dismissing the client's perception may increase distress and reduce trust in the nurse-client relationship. A therapeutic approach acknowledges the client’s experience without reinforcing or denying hallucinations.
B. Ask the client to describe what is being seen. Encouraging the client to describe the hallucination helps assess its nature and severity. Understanding the content allows the nurse to provide appropriate support, ensure safety, and guide interventions.
C. Touch the client's arm reassuringly. Touching the client without consent, especially during a distressing hallucination, may escalate fear or agitation. Maintaining a calm and non-threatening presence is more appropriate.
D. Remove the client from the room. Relocating the client without assessing the hallucination may not address the underlying distress. Identifying triggers and using therapeutic communication are more effective initial interventions.