Which statement indicates the psychiatric–mental health nurse understands the basic principles of symbolic interactionism in working with clients?
1. "Clients with mental disorders are unlikely to understand the personal meaning of their experiences."
2. "I try to avoid interventions that ignore the personal meaning of experiences to my clients."
3. "Clients with altered brain chemistry need frequent reassurance that they should not worry about their condition."
4. "After my first year of working in mental health, I was able to develop standardized interventions for clients with the same diagnoses."
2
Rationale: Because all behavior has meaning, the nurse must develop interventions that recognize personal meanings and are person-specific. Grouping clients by diagnosis and using standardized approaches ignores this premise. In voicing generalized reassurance, the nurse invalidates the principle that people interpret the world in their own way. Interactionism stresses that all human beings have purpose and control over their lives, and have personal understandings of their life experience even if they have altered brain structure and chemistry and stressful environments.
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