A nurse is caring for a postoperative mastectomy patient. Which action is a priority for increasing self-awareness?
a. Solving problems for the patient before developing insight
b. Using communication skills to clarify family and patient expectations
c. Telling the patient that it will be fine because many others have survived
d. Rotating nursing personnel in the patient's care, so the patient can talk to many people
ANS: B
Increase the patient's self-awareness by allowing him or her to openly explore thoughts and feelings. A priority nursing intervention is the expert use of therapeutic communication skills to clarify the expectations of a patient and family. Interventions designed to help a patient reach the goal of adapting to changes in self-concept or attaining a positive self-concept are based on the premise that the patient first develops insight and self-awareness concerning problems and stressors and then acts to solve the problems and cope with the stressors. Reassurance that a person will do fine dismisses any potential concerns the patient may have. Rotating nursing personnel does not allow time for the patient to build rapport with any one nurse.
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