A client who has been unable to leave his home for more than a month because of symptoms of
severe anxiety tells the nurse "I know it's probably crazy, but I just can't bring myself to leave my
apartment alone.".
An appropriate nursing intervention for the nurse to include in the nursing care
plan is to
a. teach the client to use positive self-talk.
b. assist the client to apply for disability benefits.
c. reinforce the irrationality of the client's fears.
d. advise the client to accept the situation and use a companion.
ANS: A
This intervention, a form of cognitive restructuring, replaces negative thoughts such as "I can't leave
my apartment" with positive thoughts such as "I can control my anxiety.". This technique helps the
client gain mastery over his symptoms. The other options reinforce the sick role.
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