The nurse is caring for a patient who is extremely dependent on the approval of others, causing them to discount their own needs. The nurse recognizes that the patient is demonstrating

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Self-differentiation refers to a person's capacity to define himself or herself within the family system as an individual having legitimate needs and wants. It requires making "I" statements based on rational thinking rather than emotional reactivity. Self-differentiation takes into consideration the views of others but is not dominated by them. Poorly differentiated people are so dependent on the approval of others that they discount their own needs. Emotional cutoff refers to a person's withdrawal from other family members as a means of avoiding family issues that create anxiety. Emotional cutoffs range from total avoidance to remaining in physical contact, but in a superficial manner. Emotional cutoffs contain a negative anxiety that drains personal energy. The problems creating the emotional cutoff persist. Rigid boundaries are operative in families with little interaction between members and family secrets. Rigid boundaries restrict flow of information. Interaction with outsiders is discouraged, or heavily regulated.

The Nurse Is Caring for a Patient Who Is Extremely