The nurse is interviewing a patient who claims to be in the middle of a crisis situation. The nurse should: (Select all that apply.)
a. determine the patient's view of the situa-tion.
b. be aware that denial is never a coping mechanism for people in crisis.
c. point out that the patient is repeating in-formation and ask him to stop.
d. assess for the potential for sui-cide/homicide.
e. assess coping mechanisms and support systems.
A, D, E
Use the interview to determine a patient's view of the situation that provoked stress, assess safety issues, coping resources, any possible maladaptive coping, and adherence to prescribed medical recommendations, such as medication or diet. If your patient is experiencing a crisis, assess safety concerns such as potential for suicide or homicide and ability to care for one's own activities of daily living. Finally, assess alternatives, coping mechanisms, and support systems. If the patient uses denial as a coping mechanism, be alert to whether the person overlooks necessary information. Listen for any recurrent themes in the patient's conversation.
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