A client's progress notes read, "states he does not want to sit or talk with others; they 'frighten' him; stays in room alone unless strongly encouraged to come out; no group involvement; at times listens to group from a distance but does not engage in conversation; some hypervigilance and scanning noted." The nurse decides that the client's behavior is defensive and plans care accordingly. Which strategy should the nurse employ?

Question

Quizplus · Accepted Answer

The nurse should help the client identify his fears regarding participating in the group. This will allow the client to address and confront these fears and begin to feel more comfortable in group settings. Helping the client develop motivation and a plan for group involvement, helping the client see that there is a possibility for change, and helping the client gradually accept realistic goals are all important aspects of care but do not address the specific behavior described in the client's progress notes.

A Client's Progress Notes Read, "States He Does Not Want