The nurse asks the client "What was it like for you when you first knew you had no place to go?" The client looks down and pauses for some time. What actions by the nurse is the most therapeutic?

A. "When is she coming home?" This is a specific question but lacks concrete details. It is an open-ended query that may not be as precise as a concrete message.
B. "Help me put this pile of books on Marsha's desk" This is a concrete message because it provides specific instructions and clear action steps.
C. "Get this out of here": This is an ambiguous message that lacks clarity and specific details about what needs to be removed and where it should go.
D. "They said it is too early to get in.": This message is somewhat vague and lacks specific details about who "they" are and what "get in" refers to.

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.