A person who has been unable to leave home for more than a week because of severe anxiety says, "I know it does not make sense, but I just can't bring myself to leave my apartment alone." Which nursing intervention is appropriate?
a. Teach the person to use positive self-talk.
b. Assist the person to apply for disability benefits.
c. Ask the person to explain why the fear is so disabling.
d. Advise the person 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 patient gain mastery over the symptoms. The other options reinforce the sick role.
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