Which finding indicates to the nurse that the client understands the psychosocial impact of his severe burn injury?
A. "It is normal to feel depressed."
B. "I will be able to go back to work immediately."
C. "I will not feel anger about my situation."
D. "Once I get home, things will be normal."
Correct Answer: A. “It is normal to feel depressed.”
During the recovery period, and for some time after discharge from the hospital, clients with severe burn injuries are likely to have psychological problems that require intervention. Depression is one of these problems.
Option B: Assist the patient and the family to express their feelings of grief and guilt. The patient and the family may initially be most concerned about the patient’s death and/or feel guilty, believing that in some way they could have prevented the incident.
Option C: Acknowledge and accept the expression of feelings of frustration, dependency, anger, grief, and hostility. Note withdrawn behavior and use of denial. Acceptance of these feelings as a normal response to what has occurred facilitates resolution. It is not helpful or possible to push the patient before ready to deal with the situation.
Option D: Assist the patient to identify the extent of actual change in appearance and body function. Feelings of grief, loss, anxiety, anger, fear, and guilt are all normal feelings that can occur. Clients need to know that problems of physical care and psychological stresses may be overwhelming.
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