A nurse is performing an assessment interview of a 14-year-old client who is being admitted to an adolescent substance abuse unit. The parents are concerned about repeated problems at school that they associate with drug use. The client stalks into the office, abruptly sits down, and says, "Okay, ask your stupid questions, but don't expect me to cooperate!" Which response by the nurse would be most appropriate?

Question

Quizplus · Accepted Answer

The nurse's ability to communicate respect, cooperation, honesty, and genuineness is important. Rejection by the adolescent, even outright hostility, during the first few interactions is common, especially if the teen is having behavior problems at home, at school, or in the community. The nurse should be patient and avoid jumping to conclusions. Hostility or defiance may be a test of how much the teen can trust the nurse, a defense against anxiety, or a transference phenomenon. Thus, the nurse needs to address the adolescent's behavior and statement in a nonjudgmental, accepting manner. Telling the adolescent your attitude is offensive or waiting until the client calms down is nontherapeutic. Asking the adolescent "Why are you so angry" also is inappropriate. The underlying feelings need to be addressed in a therapeutic manner.

A Nurse Is Performing an Assessment Interview of a 14-Year-Old