C
Rationale: The nurse needs to focus on the client's positive behaviors,
so focusing on the client's demonstrated ability to self-administer the
injection is likely to reinforce his level of competence without
sounding punitive. Option A does not focus on the specific behaviors
related to giving the injection and could be interpreted as punitive.
Option B uses reflective dialogue to assess the client's feelings, but
telling the client that he is nervous may serve as a negative
reinforcement of this behavior. Option D reinforces the client's
dependence on the nurse.
Rationale: The nurse needs to focus on the client's positive behaviors,
so focusing on the client's demonstrated ability to self-administer the
injection is likely to reinforce his level of competence without
sounding punitive. Option A does not focus on the specific behaviors
related to giving the injection and could be interpreted as punitive.
Option B uses reflective dialogue to assess the client's feelings, but
telling the client that he is nervous may serve as a negative
reinforcement of this behavior. Option D reinforces the client's
dependence on the nurse.
