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Psychosocial Integrity

A client experiences a crisis. After being unable to make decisions, the nurse assigns the nursing diagnosis of Disturbed Thought Processes related to crisis. Which of the following informs the nurse that the client has resolved the crisis?

The client uses a coping strategy that is agreed on by the client and the nurseThe client realizes his personal capabilitiesThe client has a realistic interpretation of the crisis eventThe client reports a decrease in feelings of anxiety

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ExplanationThe client who is reporting a decrease in anxiety is experiencing an ability to think clearly and make logical decisions. Using an agreed-on coping strategy (problem-solving) is not a goal relevant to disturbed thought processes—it is a goal of ineffective coping. The ability to describe a realistic interpretation of the crisis is not as helpful a criterion for evaluation of the disturbed thought processes as is the reduced anxiety.

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