The nurse is working with a female client who is admitted with SPMI regarding identification of her current problems. The client states, "I need to find an apartment soon, or I will be homeless again."

The nurse believes that the client's immediate problem is her delusion that she is "a messenger from God," which has been a theme since the client was admitted. Which of the following responses by the nurse reflects that she is taking an "empowerment education" approach to nursing care of the client?

A) "We need to get your delusions under control first with medications before we can address any other needs."
B) "Remember that you can stay here in the hospital for now."
C) "Yes, we do need to focus on finding a home environment for you when you leave the hospital."
D) "We cannot deal with your living situation until you take this medication to control your thoughts."


Ans: C
Most likely, the client with SPMI has been subjected to multiple instances of rejection based on appearance and behaviors. The nurse enhances the client's feelings of being understood through the use of active listening skills. Schofield (1998) describes empowerment education as an approach that shifts focus from the client's illness to health and from the nurse's perspective to the client's perspective. The nurse focuses on the client's priorities and goals to promote empowerment.

Nursing

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