A client with AIDS tells the nurse, "My recent life has been a series of losses. I've lost my job and my income, as well as my identity as a prominent business leader. What's next?" What can the nurse offer that will facilitate adaptive coping?
1. "I can see that you're feeling discouraged and hopeless."
2. "I will help you plan to live as normally as possible in the months ahead."
3. "Perhaps it would be wise to restrict your contacts to those who know of your illness."
4. "If you wish, I can help you investigate to see if you have been the victim of dis-crimination."
ANS: 2
Nurses who engage in problem solving with clients help minimize the client's burden of adapting to the disease. With this remark, the nurse is assisting the client to make plans to maintain the highest level of functioning possible. Achieving the goal of living as normally as possible will enhance self-esteem. Option 1 focuses on negative feelings and does not help the client move ahead. Option 3 suggests severing relationships at a time when social networking is important. Option 4 does not move the client into the future.
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