What is the most appropriate initial nursing intervention, which promotes stress reduction and healthy coping in a patient who is diagnosed with a dissociative disorder?
1. Encourage the patient to increase contact with friends and family.
2. Disregard the patient's other personalities.
3. Help the patient create distance from family members who do not believe the patient is sick.
4. Determine patient's level of safety and encourage the patient to recognize triggers.
Answer: 4
Explanation: Determining patients' level of safety and encouraging patients to recognize triggers are an important initial intervention to ensure safety and promote stress reduction and healthy coping. The nurse should not encourage the patient to increase contact with friends and family or assist the patient in distancing from family members until there is a clarification of the relationships and their role in the patient's life. Disregarding the patient's other personalities does not promote effective role performance and is not the correct answer.
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