An adult female calls a crisis hotline stating that she moved a few months ago to seek a new job "in a big city."
She is crying and says that she doesn't think she can stand being so lonely anymore but doesn't want to move back to her small home town and face her family and friends as a "failure." What is the nurse's first response?
a. "Would you like me to call your family to assist you in deciding what is best for you to do?"
b. "I am sure you will make friends once you find a steady job that you like."
c. "Can you tell me what you mean by your statement that you don't think you can stand being lonely anymore?"
d. "Let me give you a list of some social groups that might be of interest to you."
C
The nurse must first clarify what the client's statement is referring to so as to eliminate the possibility that the client is thinking of harming herself. Once this is clarified, and if it is not what the client is indicating, a list of social groups might be supplied later in the conversation. Offering to call the client's family and assuring her that she will make friends are disregarding what the client is telling the nurse she feels. Social isolation is not a healthy state for an individual.
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