What is the best therapeutic response by a nurse to a client who is using profanity due to frustration about luggage limitations?

What is the best therapeutic response by a nurse to a client who is using profanity due to frustration about luggage limitations?

• A. "You're acting inappropriately."
• B. "I won't tolerate this behavior."
• C. "Swearing is unacceptable here."
• D. "Calm down or you might go into seclusion."

Answer: (C)

The best therapeutic response involves addressing the behavior while also acknowledging the emotional state of the client. By stating that "Swearing is unacceptable here," the nurse communicates clear boundaries regarding appropriate behavior in a therapeutic setting. This response validates the therapeutic environment, which is essential for effective communication and support. It allows the nurse to emphasize that while the client’s frustration is understood, there are standards of conduct that need to be upheld. In contrast, other responses may not effectively promote a therapeutic alliance. Describing the client's actions as "inappropriate" may come off as judgmental rather than supportive, while indicating that behavior won’t be tolerated could escalate the situation instead of resolving it. Lastly, suggesting that the client may need to calm down to avoid seclusion might create unnecessary fear and could be perceived as threatening rather than helping the client manage their emotional response.

The best therapeutic response involves addressing the behavior while also acknowledging the emotional state of the client. By stating that "Swearing is unacceptable here," the nurse communicates clear boundaries regarding appropriate behavior in a therapeutic setting. This response validates the therapeutic environment, which is essential for effective communication and support. It allows the nurse to emphasize that while the client’s frustration is understood, there are standards of conduct that need to be upheld.

In contrast, other responses may not effectively promote a therapeutic alliance. Describing the client's actions as "inappropriate" may come off as judgmental rather than supportive, while indicating that behavior won’t be tolerated could escalate the situation instead of resolving it. Lastly, suggesting that the client may need to calm down to avoid seclusion might create unnecessary fear and could be perceived as threatening rather than helping the client manage their emotional response.