A client who is a lawyer is meeting with a nurse therapist for the first time. The client has been highly anxious and increasingly consumed with thoughts about how he may have mismanaged a case and possibly committed professional misconduct
He relates that he has been pacing in his office and at home and cannot think clearly about what to do next. Which of the following interventions is appropriate at this time?
A) The nurse asks the client to relate the events that immediately preceded his feelings of anxiety.
B) The nurse addresses the client's psychosocial history.
C) The nurse helps the client to see that his thinking is distorted and potentially unhealthy.
D) The nurse avoids focusing on feelings and discusses his work environment.
Ans: A
Feedback:
The nurse first determines the client's perception of the stressful event. How threatened is the client? Is the client realistic or distorting the meaning of the event? The nurse encourages the client to describe his feelings and accepts the client without judgment, thereby helping him to accept his feelings as well.
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