The nurse is practicing self-reflection when caring for a patient with a severe mental illness. How will the nurse measure the effect of self-reflection?
1. By the nurse's ability to use self-disclosure.
2. By the patient's ability to use self-disclosure.
3. By changes in the patient's thoughts and behaviors.
4. By changes in the nurse's own thoughts and behaviors.
Answer: 4
Explanation: The nurse may measure the effect of self-reflection by changes in the nurse's own thoughts and behaviors. Self-disclosure is a strategy to decrease the hidden area of self, but is not self-reflection. Self-reflection is the nurse's opportunity to examine his or her own actions and motivations and feelings. Evaluation of the nurse's self-reflection is not dependent on the patient's ability to use self-disclosure or changes in the patient's thoughts and behaviors.
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