A seriously mentally ill patient who lives in a homeless shelter has a nursing diagnosis of Powerlessness. Which intervention would best address this nursing diagnosis?
a. Reinforce participation in social activity.
b. Help the patient set long-term goals.
c. Role-play assertive communication skills.
d. Role-model effective conflict resolution.
C
Assertive communication helps a person meet his needs more effectively and is empowering. The other interventions help reduce impaired socialization, build future-oriented (long-term) goals, and enhance problem solving. Goal setting can also help reduce powerlessness but more so if the focus is on short-term goals at first, so the patient can achieve success sooner; success builds confidence, and confidence reduces powerlessness.
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