A home health nurse is evaluating a client recently diagnosed with a chronic, progressive neurological disorder. The client states, "The clinic mixed up my laboratory reports. There is absolutely nothing wrong with me, and I am not taking any of those new medications." Which actions by the nurse are appropriate at this time? Select all that apply.
- Ask the client to describe any physical changes or discomfort they are currently experiencing.Cevap
- Encourage the client to express their thoughts regarding the recent clinic visit.Cevap
- CPresent the medical records to the client to provide objective proof of the condition.
- DReassure the client that everything will be fine because modern treatments are highly effective.
- Assess the client's use of coping strategies during previous stressful life events.Cevap
- FImmediately request an emergency psychiatric hold due to the client's refusal of medications.
Cevap
The appropriate interventions are asking the client about current physical symptoms, encouraging the expression of thoughts regarding the clinic visit, and assessing past coping strategies.
The correct actions focus on maintaining a therapeutic relationship while gently guiding the client toward reality. Asking about physical symptoms grounds the client in their current reality without arguing about the diagnosis. Encouraging expression of feelings validates the client's emotional state. Assessing past coping strategies helps the nurse identify personal strengths that can be utilized to move the client from denial to acceptance.
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Anahtar Kavram
Therapeutic Management of Maladaptive Coping (Denial)