A client with a dissociative disorder has the nursing diagnosis of disturbed body image. Which nursing interventions would address the nursing priority of determining the coping abilities and skills of this client? (Select all that apply.)
a. Assess the client's current level of adaptation.
b. Help the client differentiate between isolation and loneliness.
c. Note the use of addictive substances.
d. Identify previously used coping strategies and their effectiveness.
A, C, D
The client's current level of adaptation must be assessed as a baseline for the plan of care. Noting the use of addictive substances may reflect dysfunctional coping mechanisms. Identifying whether previously used coping strategies were effective will reveal whether any of them can be used again. Helping the client differentiate between isolation and loneliness is an intervention that is directed toward the nursing diagnosis of social isolation.
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