A client, while receiving therapies for lung cancer, has been hospitalized for an extended period of time. She has become very depressed, refuses visitors, and does not participate in personal grooming
In order for the nurse to assist in achieving resolution of the client's problem, he should have the client:
1. Get washed and dressed independently
2. Think positively instead of negatively
3. Contact a support group and explore a psychological consultation
4. Become more physically independent and return to prior activities
ANS: 3
Consultation with significant others, mental health clinicians, and community resources can result in a more comprehensive and workable plan. Clients who are experiencing threats to or alterations in self-concept often benefit from collaboration with mental health and community resources to promote increased awareness. The client's problem of a negative self-concept must be addressed first. As a result, the client may begin to bathe and dress independently. The client needs to ex-press his negative feelings. This would be one step in addressing his self-concept problem. Stat-ing the client should think positively instead of negatively, at this point, is unrealistic. A long-term goal may be that the client will become more independent and return to prior activities. It is not realistic at this time.
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