Which action indicates abusive power in a nurse-client relationship?

• A. The nurse responds promptly to the client's calls.
• B. The nurse allows the client to call twice before attending to him.
• C. The nurse explains procedures clearly.
• D. The nurse documents interactions thoroughly.

Answer: (B)

Abusive power shows up when someone uses their position to control or withhold what the other person needs, rather than supporting their safety and autonomy. Here, delaying attendance until the client calls twice demonstrates the nurse wielding authority to restrict access to care. That kind of delay sends the message that the client’s needs aren’t urgent or important, which is a misuse of power and erodes trust in the caregiving relationship.

In contrast, responding promptly, explaining procedures clearly, and documenting interactions thoroughly all reflect professional, respectful practice that supports the client’s rights and safety. They show the nurse using power to advocate for the patient, not to manipulate or diminish them.