An adolescent client has just been found to have broken one of the unit rules. The nurse imposes the consequence of losing phone privileges. In this instance, the nurse is acting as the:

A. Individual psychotherapy: Individual psychotherapy typically focuses on exploring and addressing individual thoughts, feelings, and behaviors through therapeutic techniques such as talk therapy. It does not specifically involve the use of rewards or consequences for behavior modification, as seen in the scenario of giving tickets for good behavior.

B. Reality Therapy: Reality Therapy, developed by William Glasser, emphasizes personal responsibility and choices. It involves setting specific goals and evaluating behaviors in relation to these goals. In the context of the scenario, giving tickets for good behavior and not giving them for poor behavior aligns with Reality Therapy's focus on consequences and choices.

C. Cognitive Therapy: Cognitive Therapy focuses on identifying and changing negative thought patterns and beliefs that contribute to emotional distress and maladaptive behaviors. While it may incorporate behavioral techniques, such as behavioral activation, it primarily targets cognitive processes rather than directly using rewards or consequences for behavior modification.

D. Behavioral therapy: Behavioral therapy, including approaches like Applied Behavior Analysis (ABA), focuses on modifying behaviors through reinforcement (positive or negative) and shaping behavior using rewards or consequences. Giving tickets for good behavior and withholding them for poor behavior reflects a behavioral approach to therapy.

A. This response can come off as dismissive or invalidating the client's feelings. It doesn't acknowledge the client's statement about feeling close and needing a friend.

B. This response is blunt and may be perceived as cold or uncaring. It doesn't acknowledge the client's emotional needs or the therapeutic relationship.

C. This response validates the client's feelings of trust and closeness while also emphasizing the importance of the therapeutic relationship for the work being done. It acknowledges the client's emotions in a supportive manner.

D. This response downplays the client's feelings and suggests that the nurse is not a suitable person for friendship. It misses an opportunity to validate the client's emotions and reinforce the therapeutic relationship.