Mr. Thomas, who is 50 years old, is being treated for pneumonia and dehydration. He has a history of alcoholism and admits to starting to drink heavily again
He tells you, "I'm a horrible person. My family deserves someone better than me to care for them." Your most therapeutic response to him is:
A.
"It sounds as though you are feeling guilty about drinking, Mr. Thomas. Tell me more about what you mean by that."
B.
"Why do you say that, Mr. Thomas?"
C.
"I'm sure that your family is satisfied, Mr. Thomas."
D.
"Your drinking doesn't sound that serious."
ANS: A
Response A is an open-ended statement to help him identify his feelings and encourage further exploration. Response B asks for him to understand why he feels this way and he may not know. Responses C and D reinforce denial.
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