A client with acute stress disorder is telling the nurse about the tornado that leveled his house and killed his wife and baby while he was out of town on business. He states, “If only I’d been at home, I could have saved them.” Which of the following responses would be most appropriate?
1. “Don’t blame yourself; you’ll only feel worse.”
2. “It’s not your fault; so stop feeling so guilty.”
3. “You might not have been at home.”
4. “You couldn’t have prevented the tornado; it just happened.”
By saying, “You couldn’t have prevented the tornado; it just happened,” the nurse helps the client to develop an objective perspective and promotes a better understanding of the event. The other statements tell the client how to feel, possibly causing resistance and thus delay therapeutic healing. Guilt and self-blame will not be decreased.
CN: Psychosocial integrity; CL: Synthesize
小编寄语：The good thing about being a hard worker is that everyone who sees you will want to help you.But if you don't make a little effort yourself, people want to help you, they don't know where your hand is.做一个努力的人好处在于，人人见了你都会想帮你。但如果你自己不先做出一点努力的样子，人家想拉你一把，都不知你的手在哪里。