The nurse working at a long-term care facility notes that one patient who is usually outgoing refuses to participate in games that require keeping score. What action by the nurse is best?
a. Ask the patient why he or she won't participate.
b. Assess the patient's level of frustration with these activities.
c. Find other activities for the patient to participate in.
d. Do nothing; the patient can choose activities to engage in.
B
Although it is true that patients should be able to choose activities in which to participate, the best option is to assess the patient for frustration or anxiety associated with these types of activities. Once that is determined, the nurse can find other activities the patient can engage in successfully and is willing to participate in if the games are not an option. Asking "why" questions often puts people on the defensive and is not a therapeutic communication technique.
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