Psychosocial Considerations in Chronic Illness Care
Psychosocial Considerations in Chronic Illness Care ( 4 Questions)
A client with multiple sclerosis is admitted to the hospital for an exacerbation of symptoms. The client tells the nurse that they feel hopeless and worthless because they cannot work or take care of their family anymore. How should the nurse respond?
The client is experiencing low self-esteem and negative self-image due to the loss of roles and functions caused by chronic illness. The nurse should use positive reinforcement and affirmations to help the client recognize their worth and value as a person, regardless of their disease status or limitations. The nurse should also encourage the client to identify their strengths and abilities, such as hobbies, interests, skills, or talents, that they can still enjoy or develop.
This response is dismissive of the client's feelings and may sound unrealistic or insensitive. While providing information about treatments is important, it should not be done without acknowledging and validating the client's emotions first.
This response is supportive but does not address the core issue of low self-esteem and negative self-image. The nurse should also help the client explore their own sense of identity and worth beyond their relationships with others.
This response is empowering but may sound patronizing or demanding if the client is feeling overwhelmed or discouraged by their situation. The nurse should also respect the client's pace and readiness to make changes or take action.
The client is experiencing low self-esteem and negative self-image due to the loss of roles and functions caused by chronic illness. The nurse should use positive reinforcement and affirmations to help the client recognize their worth and value as a person, regardless of their disease status or limitations. The nurse should also encourage the client to identify their strengths and abilities, such as hobbies, interests, skills, or talents, that they can still enjoy or develop.
Incorrect options:
B) "You are not hopeless. There are many treatments available that can help you manage your symptoms." - This response is dismissive of the client's feelings and may sound unrealistic or insensitive. While providing information about treatments is important, it should not be done without acknowledging and validating the client's emotions first.
C) "You are not alone. There are many people who care about you and want to help you." - This response is supportive but does not address the core issue of low self-esteem and negative self-image. The nurse should also help the client explore their own sense of identity and worth beyond their relationships with others.
D) "You are not helpless. There are many things that you can do to improve your condition and well-being." - This response is empowering but may sound patronizing or demanding if the client is feeling overwhelmed or discouraged by their situation. The nurse should also respect the client's pace and readiness to make changes or take action.