The nurse is practicing self-reflection when caring for a patient with a serious mental illness. In which way should the nurse measure the effect of self-reflection?

1. By the nurse's ability to use self-disclosure
2. By the patient's ability to use self-disclosure
3. By changes in the patient's thoughts and behaviors
4. By changes in the nurse's own thoughts and behaviors


4. By changes in the nurse's own thoughts and behaviors

Explanation:
The effect of self-reflection is measured by changes in the nurse's own thoughts and behaviors. Self-disclosure is a strategy to decrease the hidden area of self but is not self-reflection. Self-reflection is the nurse's opportunity to examine personal actions and motivations and feelings. Evaluation of the nurse's self-reflection is not dependent on the patient's ability to use self-disclosure or changes in the patient's thoughts and behaviors.

Nursing

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