A client with the diagnosis of depersonalization disorder notices that he experiences periods of depersonalization when confronted with certain stressors
When developing the care plan, the nurse is aware that one of the most helpful activities in self-control for this client is for the client to: a. Contact a treatment team member to discuss his thoughts and feelings every time he is confronted with a stressor.
b. Keep a daily journal of his thoughts and feelings, paying special attention to thoughts and feelings during stressful times.
c. Recall periods of stressful times in his life during his clinic visit.
d. Join an exercise program that will help to decrease his stress level.
B
Daily journals will allow the client to vent his feelings, will enable reflection on events that led to depersonalization episodes, and will assist the treatment team in collaborating with the client on self-control measures to help prevent episodes in the future. Contacting a team member with every stressor or trying to recall episodes is unrealistic. Although an exercise program may help to decrease stress levels, it does not deal directly with episodes.
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