A patient tells a nurse, "I want my own private room because my roommate is always watching football on television. He probably thinks I'm gay because I don't like football."
Which communication best reflects a cognitive behavioral assessment by the nurse? a. "You feel your roommate thinks you're gay because you don't like football and he spends his time watching football? How will getting a private room change things?"
b. "It's hard to feel excluded, but isolating yourself is not the answer. Perhaps you might try watching football with him.".
c. "Don't you think your roommate will be more likely to think you're gay if you get a private room?"
d. "Well, you must realize that most men like football, but that doesn't mean he will think you are gay.".
A
The patient is demonstrating personalization and engaging in ineffective problem solving. The most therapeutic communication is the one in which the nurse identifies the problem from the patient's perspective and asks how the ineffective problem solving will change things.
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