A patient demonstrates obvious regression in ability to perform self-care during the working phase. Which response by the nurse is most appropriate?

a. Frustration because the patient does not appear to be motivated to achieve goals
b. Persistence in demonstrating the importance of achieving goals
c. Patience and understanding because regression is a defense mechanism
d. Ignoring it because the nurse realizes the patient is exhibiting childlike behavior


ANS: C

A
The nurse needs to show patience and maturity, not frustration.
B
Regression may be a necessary defense mechanism against stress, and the nurse needs patience during this time.
C
Patience and understanding are necessary because the patient's progress toward goal achievement may not be smooth. Regression is a defense mechanism that may precede positive outcomes.
D
Understanding of regression is needed during this time.

Nursing

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