A patient tells the nurse that he becomes very angry and abusive to his friends and family when he is unable to obtain an illegal substance. How should the nurse respond?
1. "Have you considered seeking treatment for this behavior?"
2. "You must not have many friends left.".
3. "Have your actions caused problems for you at work?"
4. "I don't see how that kind of behavior helps get you what you want.".
1
Rationale 1: The patient's description indicates a substance abuse problem. The best response is for the nurse to ask the patient if he has considered seeking treatment for this behavior.
Rationale 2: The nurse should not comment about the patient's number of friends.
Rationale 3: The patient has reported that he is abusive to friends and family. Whether this behavior has caused problems at work is not the most important assessment question.
Rationale 4: Confronting the patient about how illogical his actions are is not the most therapeutic or safest course of action.
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