Psychosocial Considerations in Chronic Illness Care
Psychosocial Considerations in Chronic Illness Care ( 4 Questions)
A client with chronic obstructive pulmonary disease (COPD) is admitted to the hospital for an acute exacerbation. The client has a history of smoking for 40 years and has tried to quit several times without success. The client tells the nurse that they are ashamed of themselves and feel guilty for causing their own illness. How should the nurse respond?
This response is empathetic but may sound dismissive or minimizing of the client's feelings. The nurse should acknowledge and validate the client's emotions before providing reassurance or information.
This response is judgmental and blaming, which can damage the therapeutic relationship and increase the client's defensiveness or resistance to quitting smoking. The nurse should avoid using words such as "should" or "must" that imply obligation or pressure.
This response is supportive but may sound presumptuous or premature if the client is not ready or willing to quit smoking. The nurse should assess the client's stage of change and readiness to quit before offering resources or assistance.
The client is experiencing self-blame and guilt for contributing to their chronic illness through smoking. The nurse should use motivational interviewing techniques to help the client overcome their ambivalence and resistance to quitting smoking. The nurse should express empathy, avoid confrontation or criticism, elicit the client's own reasons for quitting, highlight the discrepancies between the client's goals and behaviors, and support the client's self-efficacy and autonomy. The nurse should also provide information about the benefits of quitting smoking, such as reducing symptoms, preventing complications, improving lung function, increasing life expectancy, saving money, and enhancing well-being.
The client is experiencing self-blame and guilt for contributing to their chronic illness through smoking. The nurse should use motivational interviewing techniques to help the client overcome their ambivalence and resistance to quitting smoking. The nurse should express empathy, avoid confrontation or criticism, elicit the client's own reasons for quitting, highlight the discrepancies between the client's goals and behaviors, and support the client's self-efficacy and autonomy. The nurse should also provide information about the benefits of quitting smoking, such as reducing symptoms, preventing complications, improving lung function, increasing life expectancy, saving money, and enhancing well-being.
Incorrect options:
A) "You should not feel ashamed or guilty. Smoking is an addiction that is hard to overcome." - This response is empathetic but may sound dismissive or minimizing of the client's feelings. The nurse should acknowledge and validate the client's emotions before providing reassurance or information.
B) "You should feel ashamed and guilty. Smoking is a harmful habit that you could have avoided." - This response is judgmental and blaming, which can damage the therapeutic relationship and increase the client's defensiveness or resistance to quitting smoking. The nurse should avoid using words such as "should" or "must" that imply obligation or pressure.
C) "You can still quit smoking if you want to. There are many resources available to help you." - This response is supportive but may sound presumptuous or premature if the client is not ready or willing to quit smoking. The nurse should assess the client's stage of change and readiness to quit before offering resources or assistance.