A nurse is evaluating the effect of a support group on a client who is experiencing prolonged grieving. Which of the following statements by the client indicates the support group is effective?

A. Approach the client from the front: Approaching the client from the front is important to avoid startling them, especially if they are disoriented. It helps ensure they are aware of your presence and reduces confusion or anxiety.

B. Avoid having a structured schedule: A structured schedule is actually beneficial for clients with dementia. Routine helps provide stability and reduces anxiety by giving the client a sense of predictability and control.

C. Remove clocks from the room: Removing clocks is not recommended. Clocks can help orient the client to time and provide a sense of structure. It may be more helpful to use large clocks or calendars with clear time indicators.

D. Give detailed explanations: Giving detailed explanations may overwhelm the client, especially if they are disoriented. It’s more effective to provide simple, clear instructions and focus on one thing at a time.

A. "If I were you, I would go to a few therapy sessions to give them a try": This statement is not appropriate because it places the nurse's personal perspective onto the client, potentially pressuring them. It does not respect the client's autonomy in making their own decisions.

B. "One of my friends went to group therapy and they improved significantly": Sharing personal experiences can make the client feel uncomfortable and may not be relevant to their own situation. It can also create a sense of comparison, which is not helpful.

C. "You have the right to refuse to attend group therapy": This statement is respectful of the client's autonomy and acknowledges their right to make decisions about their care. It empowers the client and maintains their dignity while respecting their refusal.

D. "You should go to group therapy if you want to get better": This statement may feel coercive, as it implies that the client "should" attend therapy to improve. It might lead the client to feel guilty or pressured rather than supported in their choice.