During a therapy session, which statement made by the nurse indicates a need for further training in effective therapeutic communication techniques?

An 80-year-old patient with chronic obstructive pulmonary disease, chronic respiratory failure, and urosepsis is at the highest risk for developing delirium. Multiple factors such as advanced age, severe illness, and multiple comorbidities increase the risk of delirium.

Choice C rationale
Assisting the patient in identifying a thought that triggers anger, evaluating the validity of the belief, and replacing it with reality-based thinking is an effective nursing intervention to help an angry patient manage their anger without resorting to violence. This approach is based on cognitive behavioral therapy (CBT), a type of psychotherapy that can help people learn to identify and change destructive thought patterns that have a negative influence on behavior and emotions.
Choice A rationale
While medication can be part of a comprehensive treatment plan for individuals struggling with anger management, it is not the first-line intervention. Medication should be considered if the anger is part of a larger mental health disorder, such as bipolar disorder or intermittent explosive disorder, and should be administered under the guidance of a healthcare provider.
Choice B rationale
Negative reinforcement such as restraint or seclusion can escalate the situation and is not considered a best practice for managing anger. It should only be used as a last resort when the patient poses a risk to themselves or others.
Choice D rationale
Aversive conditioning, such as snapping a rubber band on the wrist, is a type of behavioral therapy that can be used to help a person reduce or eliminate unwanted behaviors. However, it is not the most effective strategy for managing anger and can potentially lead to self-harm.