Evolve HESI Practice Exam

When a client begins to cry and shares feelings of isolation, what should the nurse do?

1. Redirect the conversation to positive topics

2. Encourage the client to express these feelings

3. Listen and show interest as the client expresses these feelings

4. Suggest coping strategies immediately

The correct answer is: Listen and show interest as the client expresses these feelings

When a client begins to cry and shares feelings of isolation, the most appropriate response is to listen and show interest as the client expresses these feelings. This approach is crucial in a therapeutic setting because it demonstrates empathy and validation of the client's emotions. When clients are vulnerable and open up about their feelings, it is essential for the nurse to create a safe, supportive environment where the client feels heard and understood. Listening actively allows the nurse to gather valuable information about the client’s emotional state, which can inform future interventions. Showing interest encourages the client to share more about their experiences and feelings, fostering a therapeutic relationship that can facilitate healing. In contrast, redirecting the conversation to positive topics may invalidate the client’s feelings and could lead them to feel dismissed or not taken seriously. Suggesting coping strategies immediately diverts attention from the client’s need to process their emotions. While encouragement to express feelings is important, the key element is to actively listen, which goes beyond mere encouragement, allowing for a deeper exploration of the client's thoughts and feelings.