A nurse is interviewing a distressed client, who relates being fired after 15 years of loyal employment. Which of the following questions would best assist the nurse to determine the client's appraisal of the situation? Select all that apply
A. "What resources have you used previously in stressful situations?"
B. "Have you ever experienced a similar stressful situation?"
C. "Who do you think is to blame for this situation?"
D. "Why do you think you were fired from your job?"
E. "What skills do you possess that might lead to gainful employment?"
ANS: A, B, E
These questions specifically address the client's coping resources and encourage the client to apply learning from past experiences. These questions also encourage the client to consider alternative methods for dealing with stress. Asking who is to blame does not assess coping abilities but, rather, encourages maladaptive behavior. Requesting an explanation is a nontherapeutic block to communication.
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