A nurse making rounds hears sounds coming from an adolescent's room. When checking on the client, the nurse hears noises coming from the bathroom, and suspects that the client is masturbating. Which are the most appropriate actions in this situation?
Select all that apply.

Question

Quizplus · Accepted Answer

C: Knocking on the door before entering the bathroom is appropriate because it maintains the client's privacy and dignity. It also allows the nurse to inform the client that their behavior is not appropriate in a discreet manner.
D: Examining personal feelings is appropriate as it helps the nurse to confront her own values and facilitates effective communication. This approach allows the nurse to remain non-judgmental while still addressing the client's behavior. A non-judgmental approach is important to build rapport and trust with the client.

Options A, B, and E are not appropriate. Discussing the inappropriate behavior is not suitable because it shames and humiliates the client, leading to negative effects on the therapeutic relationship. Waiting for the client to come out of the bathroom before approaching them is infringing on their privacy, and pretending not to hear anything is neglecting the issue at hand.

A Nurse Making Rounds Hears Sounds Coming from an Adolescent's