During the working phase of the nurse-client relationship, the nurse directs the client to do which of the following?

A. "You are in really good shape for your age." This response minimizes the client’s feelings and focuses on physical condition rather than addressing the emotional and existential concerns expressed by the client.
B. "This is just a minor setback. You will be back on your feet in no time." This response downplays the significance of the client’s feelings and may be perceived as dismissive. It does not address the client’s concerns about the end of life.
C. "You feel as though your life is ending?" This response acknowledges and validates the client’s feelings, providing an opportunity for further exploration and support. It shows empathy and encourages the client to express their emotions.
D. "The doctors are going to take good care of you. There is nothing to worry about." This response reassures the client about medical care but does not address the emotional aspect of the client’s statement regarding the end of life.

A. "If you don't participate in your care, you will not get better." This statement is not therapeutic as it may be perceived as judgmental or coercive. It could further discourage the client, especially if they are struggling with motivation due to depression.
B. "You can remain in bed until you feel well enough to join the group." While this response shows empathy, it might inadvertently reinforce the client's avoidance behavior and contribute to further isolation. It is generally more beneficial to encourage gradual participation rather than allowing complete withdrawal.
C. "I will assist you in getting out of bed and getting dressed." This option is appropriate because it offers support and encouragement in a gentle, non-coercive manner. Assisting the client in small steps can help them overcome inertia and begin to participate more actively in their care.
D. "The unit rules state that clients may not remain in bed." This approach is likely to be perceived as rigid and punitive. It does not address the client’s emotional state or offer support, which is crucial for someone struggling with depression.