In a group therapy session, how should a nurse manage a client who monopolizes the conversation?

Scheduling one-on-one discussion time with the client is an appropriate and effective strategy for managing a situation where a client monopolizes the conversation in a group therapy setting. This approach allows the nurse to address the client’s need for attention and validation in a more controlled environment. By doing so, the nurse can help the client express their thoughts and feelings without disrupting the group dynamics. Additionally, this individualized attention can enhance the client's therapeutic experience, as they may feel heard and valued, which can lead to better engagement in the group sessions.

Addressing the concern in a one-on-one setting also mitigates potential discomfort or embarrassment that the client may feel if their behavior is called out in front of peers, which could lead to defensiveness or withdrawal. This careful approach fosters a safe therapeutic space for all participants, encouraging balanced participation in future group discussions.