In a group therapy setting, how should a nurse respond to a client who monopolizes conversations?

A nurse's response to a client who monopolizes conversations in a group therapy setting should aim to facilitate balanced participation and promote constructive dialogue among all group members. Inviting the client to summarize their point serves multiple purposes: it respects the client’s contributions while also nudging them to be more concise. This technique encourages active listening from the client, shifts the focus back to the group, and creates an opportunity for others to engage.

When a client monopolizes the conversation, there is a risk that other participants may feel overlooked or discouraged from contributing, which can undermine the therapeutic goals of the group setting. By prompting the client to summarize, the nurse not only helps to manage the flow of discussion but also teaches the client to reflect on their contributions and be more aware of the dynamics at play in the group. This encourages the development of social skills and fosters a collaborative environment.

In contrast, directly telling the client to stop interrupting risks creating defensiveness, which could hinder the therapeutic relationship. Ignoring the behavior could allow the disruption to continue unchallenged, further alienating other group members. Expressing frustration is counterproductive and may damage the nurse-client relationship, making the client feel judged or unwelcome in the therapeutic space. Thus, encouraging the client to