A patient tells a nurse, “I sometimes get into trouble because I make quick decisions and act on them.” A therapeutic response would be:
a. "Let's consider the advantages of being able to stop and think before acting."
b. "It sounds as though you've developed some insight into your situation."
c. "I'll bet you have some interesting stories to share about overreacting."
d. "It's good that you're showing readiness for behavioral change."
ANS: A
The patient is showing openness to learning techniques for impulse control. One technique is to teach the patient to stop and think before acting impulsively. The patient can then be taught to evaluate the outcomes of possible actions and choose an effective action. The incorrect responses shift the encounter to a social level or are judgmental.
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