A client with major depression is completing his morning care independently. When the nurse approaches the client with his medication, he tells the nurse that he is a failure as a husband and a father and is worthless.
His wife told the nurse previously that the client is a good provider and a wonderful father and husband. Which of the following responses by the nurse is most appropriate?
1. “You were able to shower and dress without help this morning.”
2. “Your wife told me that you are a good husband and father.”
3. “You don’t have any reason why you should feel that way.”
4. “This medication will help your thinking.”
Stating, “You were able to shower and dress without any help this morning,” points out a visible, realistic accomplishment and strength to the client with self-deprecatory statements, thereby helping to increase the client’s self-worth. The statements, “Your wife told me that you are a good husband and father,” and, “You don’t have any reason why you should feel this way,” are not helpful because logical statements are ineffective in changing the thinking of a client who is depressed.
The client may agree with what the nurse states but be just as depressed because intellectual understanding does not help the severely depressed client.
The statement, “This medication will help your thinking,”although true, does not recognize the client’s accomplishment and will have no positive effect on his self-esteem.
CN: Psychosocial adaptation; CL: Synthesize