Which nursing actions would enhance the development of a therapeutic relationship with a patient diagnosed with a psychophysiological disorder? (Select all that apply.)
a. Assure the patient that the problem is easily treated since it is imagined.
b. Approach the patient with the understanding that the symptoms are real.
c. Encourage the patient to identify triggers that make the symptoms worse.
d. Encourage the patient to identify situations that make the symptoms better.
e. Provide the patient with a list of behaviors that are the focus of the problem.
B, C, D
Psychophysiological illness should never be dismissed as "imagined" or "all in one's head.". The patient with the nurse's guidance needs to identify the problematic behaviors. These approaches will cause the patient to withdraw from the nurse and prevent the formation of a therapeutic relationship. The remaining options will assist in the development of a therapeutic relationship.
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