The nurse is reading a patient's chart and notes the patient has a tumor stage of IV. Which describes the meaning of stage IV cancer?

Choice A reason: Patients with antisocial personality disorder often have difficulty adhering to societal norms and rules due to their disregard for the rights of others and lack of remorse for their actions.

Choice B reason: Listening to music is a leisure activity and does not typically involve compliance with rules or regulations, making it less likely to be difficult for the patient.

Choice C reason: Organizing a patient committee may involve cooperation and adherence to guidelines, which could be challenging but is not as fundamental as following hospital rules.

Choice D reason: Playing volleyball is a physical activity and, while it involves following game rules, it is not as comprehensive as abiding by hospital rules.

Choice A: "I’m sorry if I upset you. I just wanted to make sure you’re aware of the day’s schedule."

This response may seem empathetic, but it could potentially reinforce the client's aggressive behavior. The nurse is apologizing, which might give the impression that the client's rude behavior is acceptable¹.

Choice B: "Well, if you can read it yourself, then why don’t you?"

This response is confrontational and could escalate the situation. It's important for the nurse to maintain a neutral and respectful manner.

Choice C: "You don’t have to be so rude. I’m just doing my job."

This response is defensive and could provoke further aggression from the client. It's not recommended to respond defensively to clients with borderline personality disorder¹.

Choice D: "I didn’t mean to offend you. I’ll leave the schedule here for you to review."

This is the most appropriate response. The nurse acknowledges the client's feelings without reinforcing the aggressive behavior. The nurse also respects the client's autonomy by leaving the schedule for the client to review¹.