During a support group, a patient diagnosed with schizophrenia says, "Sometimes I feel sad that I will never have a good job like my brother. Then I dwell on it and maybe I should not."
Select the nurse leader's best comment to facilitate discussion of this issue.
a. "It is often better to focus on our successes rather than our failures."
b. "How have others in the group handled painful feelings like these?"
c. "Grieving for what is lost is a normal part of having a mental disorder."
d. "I wonder if you might also experience feelings of anger and helplessness."
ANS: B
Asking others to share their experiences will facilitate discussion of an issue. Giving information may serve to close discussion of the issue because it sounds final. Suggesting a focus on the positives implies a discussion of the issue is not appropriate. Suggesting other possible feelings is inappropriate at this point, considering the patient has identified feelings of sadness and seems to have a desire to explore this feeling. Focusing on other feelings will derail discussion of the patient's grief for his perceived lost potential.
You might also like to view...
A family member of a patient who is in adrenal crisis asks why the IV cortisone is continued after the initial IV push of Solu-Cortef, which seemed to stop the symptoms. What is the best explanation by the nurse?
a. Solu-Cortef has a very brief therapeutic period and needs a maintenance IV infu-sion to keep up the level. b. IV infusions guarantee that Solu-Cortef will be absorbed. c. Long-term IV infusions maintain adequate urine output. d. IV cortisone supports peripheral perfusion and elevates the blood pressure.
A 2-month-old infant with bronchopulmonary dysplasia is being prepared for discharge from the neonatal intensive care unit. He will continue to receive oxygen via nasal cannula at home. Prior to discharge, the home health nurse assesses the home
Which of the following findings poses the greatest risk to this infant? 1. Small toys strewn on the floor 2. A wood stove used for heating 3. A sibling who has an ear infection 4. Paint peeling on the walls
The parents of a child born with disabilities ask the nurse for advice about discipline. The nurse's response should be based on remembering that discipline is which?
a. Essential for the child b. Not needed unless the child's behavior becomes problematic c. Best achieved with punishment for misbehavior d. Too difficult to implement with a special needs child
Which of the following are true when communication is effective? Select all that apply
a. The sender is credible. b. There is clarity. c. Simple, exact language is used. d. Slang is used. e. The receiver rolls her eyes when asked to complete a task.