A client on a medical-surgical unit is placed on contact precautions for a multidrug-resistant organism. The client tells the practical nurse, "Everyone who comes in here covers themselves up like I am radioactive. I feel completely diseased." Which of the following responses by the practical nurse use therapeutic communication techniques? Select all that apply.
- It sounds as though you are feeling isolated and upset about the protective equipment.Answer
- I have some time right now to sit and talk with you if you would like.Answer
- CTry not to let it bother you; these precautions are standard hospital policy.
- DWhy do you feel like people are treating you as if you are radioactive?
- EThe nursing staff is just trying to keep themselves and the other clients safe.
Answer
The therapeutic responses involve reflecting the client's feelings of isolation and offering oneself to provide emotional support.
The correct responses utilize validated therapeutic communication techniques. Stating that the client seems isolated and upset uses 'reflection', which helps the client feel understood and validates their emotional state. Stating a willingness to sit and talk utilizes 'offering self', which demonstrates genuine care and provides comfort to a client feeling stigmatized and alone.
Step-by-Step Solution
Key Concept
Therapeutic Communication