(^288) 4. Explore wit h client t he true source of t he anger. This is pain- 5. As anger is displaced onto the nurse or therapist, caution 6. Explain the behaviors associated with the normal grieving 7. H e l p c l i e n t u n d e r s t a n d a p p r o p r i a t e w a y s o f e x p r e s s i n g a n g e r. Physical exercise provides a safe and effective method for discharging pent-up tension.anger appropriately. Act as a role model.ful therapy that often leads to regression as the client deals with the feelings of early abandonment. It seems that some-times the client must “get worse before he or she can get bet-ter.”the guilt that these responses generate.is necessary before progression through the grieving process can continue.Give positive reinforcement for behaviors used to express must be taken to guard against the negative effects of coun-associated with normal grieving may help to relieve some of this process. process. Help the client to recognize his or her position in the capacity for eliciting a whole array of negative feel-ings from the therapist. The existence of negative feel-ings by the nurse or therapist must be acknowledged, but they must not be allowed to interfere with the therapeutic process.tertransference. physical exercises, volleyball, punching bag, exercise bike).^ ●^ Reconciliation of the feelings associated with this stage ALTERATIONS IN PSYCHOSOCIAL ADAPTATIONKnowledge of the acceptability of the feelings These are very diffi cult clients who have Positive rein-
2506_Ch16_275-309.indd 0288 2506 Ch 16 275 - 309 .ind^ 2. Client is able to discuss the original source of the anger 1. Client is able to verbalize how anger and acting-out behav-Outcome Criteria8. Set limits on acting-out behaviors and explain consequences d 0 know when he or she has done something that has gener-of violation of those limits. Be supportive, yet consistent and iors are associated with maladaptive grieving.fiand demonstrates socially acceptable ways of expressing the of desirable behaviors. It is appropriate to let the client emotion. ated angry feelings in you. Role-modeling ways to express anger in an appropriate manner is a powerful learning tool.control to limit maladaptive behaviors, so assistance is re-quired from staff. Without consistency on the part of all staff members working with this client, a positive outcome will not be achieved.forcement enhances self-esteem and encourages repetition 2 rm, in caring for this client. 88 Client lacks suffi cient self- 10/1/10 9:36:59 AM 10 / 1 / 10 9 : 36 : 59 AM
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