Which of the following statements by the nurse working with a client with SPMI best reflects a cognitive–behavioral therapy approach to caring for the client?

Question

A) "The impact of the death of your mother when you were 3 years old has made it difficult for you to trust women."
B) "I know it is difficult but you must get up and get dressed now or you will not be able to use your unit privileges for the remainder of the week."
C) "Sit in the chair next to me, and let's role-play about how you should approach your daughter regarding obtaining money for your clothing."
D) "You have been able to shave and shower for 2 days in a row, which reflects significant progress toward your discharge goals."

Answer 1

Ans: D
The client with SPMI often has great difficulty feeling positive about herself or himself due to repeated failures in multiple areas of living. During cognitive–behavioral therapy, the nurse communicates respect for the client and identifies those areas in which the client has been able to function. Encouraging the client to identify positive self-statements and provide examples of positive functioning promotes self-esteem.