Nursing Acceleration Challenge Exam (NACE) PN-RN Practice Test

What is the best response from a nurse when a patient is becoming increasingly upset?

1. "What is your problem?"

2. "It's time to settle down, ok?"

3. "Your behavior is inappropriate."

4. "You seem very upset."

The correct answer is: "You seem very upset."

Choosing to respond with "You seem very upset" acknowledges the patient's feelings without judgment, creating an opportunity for open communication. This approach demonstrates empathy and understanding, allowing the patient to feel heard. By recognizing the patient's emotional state, the nurse fosters a supportive environment that can help the patient express their feelings more constructively. This type of response can also de-escalate tension, reassuring the patient that their emotions are valid and important. Responses like "What is your problem?" may come across as confrontational or dismissive, which could further anger or upset the patient. Saying "It's time to settle down, ok?" can sound patronizing and might not adequately address the patient's emotional needs. Lastly, stating "Your behavior is inappropriate" focuses on the patient's actions rather than their feelings, which may lead to defensiveness rather than resolution. By focusing on the emotional state of the patient, the chosen response opens up a pathway for discussion and healing.