A patient became severely depressed when the last of the family's six children moved out of the home 4 months ago. The patient repeatedly says, "No one cares about me. I'm not worth anything." Which response by the nurse would be the most helpful?
a. "Things will look brighter soon. Everyone feels down once in a while."
b. "Our staff members care about you and want to try to help you get better."
c. "It is difficult for others to care about you when you repeatedly say the same negative things."
d. "I'll sit with you for 10 minutes now and 10 minutes after lunch to help you feel that I care about you."
ANS: D
Spending time with the patient at intervals throughout the day shows acceptance by the nurse and will help the patient establish a relationship with the nurse. The therapeutic technique is "offering self." Setting definite times for the therapeutic contacts and keeping the appointments show predictability on the part of the nurse, an element that fosters trust building. The incorrect responses would be difficult for a person with profound depression to believe, provide false reassurance, and are counterproductive. The patient is unable to say positive things at this point.
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