Which nursing strategy leads patients to respond more positivity to limit setting?
a. Confront the patient with the inappropriateness of the behavior.
b. Explore with the patient the underlying dynamics of the behavior.
c. Reflect back to the patient an understanding of the patient's distress.
d. State clear disapproval of the behavior, and support its consequences.
C
Setting limits is better accepted by patients if staff first use empathetic mirroring without making a value judgment. Confrontation, while sometimes an appropriate nursing response, does not enhance the effectiveness of limit setting; neither does exploring the underlying causes of maladaptive behavior. Conveying disapproval is rarely therapeutic in general and does not enhance limit setting; it would tend instead to increase patient resistance and impede the therapeutic relationship.
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