An older female patient is being treated for acute anxiety and has a nursing diagnosis of ineffective coping patterns related to feelings of helplessness. The most appropriate nursing intervention would be:
A) Provide the patient with realistic choices for her care.
B) Assess and provide constructive outlets for anger and hostility.
C) Assess the patient's need for social support.
D) Encourage an attitude of realistic hope to help deal with helpless feelings.
Ans: D
Feedback: By encouraging an attitude of realistic hope, the patient will be allowed to explore her feelings and bring about more effective coping patterns. Option A, providing the patient with realistic choices for her care, is a good choice but does not directly address the feeling of helplessness. Option B is incorrect; the nursing diagnosis is related to feelings of helplessness, not anger and hostility. Option C is a reasonable intervention but again does not directly address the feelings of helplessness.
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