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Psychosocial Integrity II

A client who was admitted for the treatment of thyroid storm (hyperthyroidism) is preparing for discharge. The client is anxious about the illness and is, at times, emotionally labile. Which intervention is most appropriate for the nurse to implement at this time?

Assist the client with identifying coping skills, support systems, and potential stressorsAvoid teaching the client anything about the disease until he or she is emotionally stableReassure the client that everything will usually be fine after returning to one’s home and familyExplain that being able to control of one’s behavior must be achieved being discharge to home can occur

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ExplanationIt is normal for clients who experience thyroid storm (hyperthyroidism) to continue to be anxious and emotionally labile at the time of discharge. The best intervention is to help the client cope with these changes in behavior and to anticipate potential stressors so that symptoms will not be as severe. Options 2 and 3 block communication by either avoiding the issue or providing false reassurance. The confrontation described in option 4 will only heighten his anxiety.

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