The client has just been laid off from his job and is very upset about the loss of his position
In establishing a plan of care for the client, which of the following does the nurse determine as an appropriate outcome for this client with situational low self-esteem? a. The client will recognize his inability to make decisions.
b. The client will respond to anxiety with decreased amounts of stress.
c. The client will use therapeutic communication skills to discuss his needs.
d. The client will discuss a minimum of two areas in which he is functioning well.
D
An appropriate outcome for the client with situational low self-esteem would be for the client to discuss a minimum of two areas in which he is functioning well.
Expecting that a client will recognize his inability to make decisions would not be an appropriate outcome for the client with low self-esteem. The focus should be on his abilities, not inability.
Expecting that a client will respond to anxiety with decreased amounts of stress does not address the issue of low self-esteem.
Being able to use therapeutic communication is always an asset, but the focus should be on im-proving the client's self-esteem by determining his strengths, recognizing his worth as a person, realizing what he is able to control, and seeking support from others who are having, or had, the same experience.
You might also like to view...
An older patient is demonstrating delirium since being admitted from a nursing home for treatment of a wound infection. What should the nurse identify as the most likely cause for the patient's delirium?
1. High television volume 2. Intravenous fluid therapy 3. Windowless hospital room 4. Assessments every 4 hours
The nurse is caring for a patient who has a chest tube connected to a water seal. The patient is not on a ventilator. Which of the following would the nurse consider normal?
a. The fluid level in the water seal rises with inspiration. b. The fluid level in the water seal falls with inspiration. c. Constant bubbling occurs in the water seal. d. The fluid level in the water seal falls with expiration 3 days after insertion.
A client describes pain in the lower leg and has been diagnosed with a herniated lumbar disk. The pain in the leg is
A) Acute pain B) Chronic pain C) Referred pain D) Limited pain
All people go through four stages of grief
Indicate whether the statement is true or false.