A nurse is providing teaching to a client who has an alcohol use disorder about Alcoholics Anonymous (AA). Which of the following client statements indicates an understanding of the program's basic concepts?

Choice A reason:

This statement may require intervention by the charge nurse because it suggests the nurse is taking a directive approach, potentially overstepping professional boundaries. It implies that the client's perspective is less important than their partner's, which could undermine the therapeutic relationship and the client's sense of autonomy.

Choice B reason:

Asking the client to elaborate on their concerns is a therapeutic communication technique that encourages expression and exploration of feelings. It does not require intervention as it is supportive and facilitates the nurse-client relationship.

Choice C reason:

Offering to help the client develop a plan to discuss their concerns with their partner is a constructive approach that empowers the client. It promotes problem-solving and does not necessitate intervention by the charge nurse.

Choice D reason:

Acknowledging that relationship difficulties are stressful and require effort to resolve is an empathetic statement that validates the client's experience. It is supportive and does not require intervention.

Choice A reason:

Speaking to a patient using an authoritative voice can often escalate the situation, especially when the patient is already angry and aggressive. It may be perceived as confrontational or patronizing, which can further provoke the patient's anger.

Choice B reason:

Clarification is a therapeutic communication technique that helps in understanding the patient's feelings and the reasons behind their behavior without making assumptions. It allows the nurse to express concern and willingness to listen, which can help de-escalate the situation.

Choice C reason:

While moving a patient to a private area can be beneficial in some cases, it should be done with caution. The priority is to ensure safety for both the patient and staff. If moving the patient could potentially escalate their aggression or if they perceive it as isolation, it might not be the best immediate action.

Choice D reason:

Maintaining eye contact is generally considered good practice in communication as it shows attentiveness. However, in situations where a patient is aggressive, constant eye contact could be interpreted as a challenge or threat, potentially escalating aggression.