A new client has just been admitted to an adolescent psychiatric inpatient unit. The charge nurse and an aide are discussing the client's needs. The aide says, “She is just showing off to try and get...

A new client has just been admitted to an adolescent psychiatric inpatient unit. The charge nurse and an aide are discussing the client's needs. The aide says, “She is just showing off to try and get our sympathy. There is no need for her to cut herself. Why would adolescents want to do such a thing to themselves?” Which of the following responses by the charge nurse would most help the aide understand the client and her illness?

1. “She is not doing the cutting for attention since she always wears clothing that covers up her injuries and further, she is not willing to talk about it.”

2. “It is hard to see a young person harm herself as she does, but she has serious family issues and does not know better ways to handle them, so we have to help her with that.”

3. “You do not understand her problems and do not take them seriously, so you should not be allowed to work with her during her hospitalization.”

4. “Perhaps you should transfer to another unit where you are able to have empathy for the clients.