The frustration of caring for a patient who displays maladaptive social responses such as manipulation, impulsivity, and self-mutilation can be most effectively managed when staff members:
a. focus on patient strengths.
b. are watchful about patient limits.
c. rely on the milieu to prompt responsible behavior.
d. are experienced enough to ignore feelings of frustration.
A
Behavioral change is slow and difficult, especially for one who sees no advantage to change. It is not unrealistic for a nurse to become frustrated with a lack of progress. Focusing on strengths changes the nurse's perspective from negative to positive. Focusing on patient strengths also is important lest patients receive constant negative messages from staff members. Vigilant observation is expected but will not likely minimize staff frustration; ignoring frustration is not a positive outcome of clinical experience or an appropriate staff coping mechanism.
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