In a community mental health setting, while a counseling session is in progress, another client asks to speak with the nurse. How should the nurse respond?

• A. Excuse me, Mr. Olan, I need to speak with Ms. Isabelle.
• B. What can I help you with, Ms. Isabelle?
• C. Ms Isabelle, you should not interrupt Mr. Olan and me.
• D. Ms Isabelle, I am with Mr. Olan until 10. I will see you directly afterward.

Answer: (D)

The main idea here is maintaining professional boundaries and ensuring continuity of care during a counseling session. When a second client seeks the nurse’s attention, the best response acknowledges the ongoing therapeutic engagement and sets a clear plan for follow-up. Saying, “Ms Isabelle, I am with Mr. Olan until 10. I will see you directly afterward,” does three important things: it confirms the current session is the priority, it preserves confidentiality by not divulging details, and it gives the other client a specific timeframe so they know when they’ll be attended to. This approach also models respectful boundary setting and keeps the therapeutic flow intact for the client who is currently in session.

Other options fall short because they either interrupt without a plan (revealing information or failing to acknowledge the ongoing session), do not establish clear boundaries, or express frustration toward the other client. In professional practice, it’s essential to protect the client in session, maintain trust, and respond with a calm, organized plan for follow-up. If an urgent situation arises, follow the facility’s safety protocols.