During a multifamily support group, a patient who has schizophrenia says, "Sometimes I feel very sad that I will never have a good job like my brother, who is an executive. Then I dwell on it, and maybe I should not."
The nurse leader can best facilitate discussion of this issue by responding: a. "Grieving for what is lost is a normal part of having a mental disorder.".
b. "How have others in the group handled painful feelings like these?"
c. "It is often better to focus on our successes rather than our failures.".
d. "I wonder if you might also experience feelings of anger and helplessness.".
B
Asking for others to share their experiences will facilitate discussion of an issue. Giving information may serve to close off discussion of the issue because it sounds final. Suggesting a focus on the positives implies a discussion of the issue is not appropriate. Suggesting other possible feelings is inappropriate at this point, considering the patient has identified feelings of sadness and seems to have a desire to explore this feeling. Focusing on other feelings will derail discussion of the patient's grief for his perceived lost potential.
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