A practical nurse is caring for a client who is recovering from a recent myocardial infarction. When the nurse encourages the client to ambulate, the client states, "I am terrified to even walk to the bathroom. What if my heart just stops?" Which of the following responses by the nurse are therapeutic? Select all that apply.
- It sounds like you are very frightened about what might happen when you exert yourself.Answer
- BPlease do not worry; your heart is healing well and we are monitoring you closely.
- Can you tell me more about the thoughts you have when you think about getting out of bed?Answer
- DWhy do you feel this way when your physical therapy session went so well earlier today?
Answer
The therapeutic responses are those that reflect the client's feelings and explore their concerns through open-ended questioning.
The correct responses utilize reflection ('It sounds like you are very frightened...') and exploration ('Can you tell me more...'). These techniques validate the client's intense fear and encourage them to continue sharing their concerns, which builds trust and facilitates emotional processing.
Step-by-Step Solution
Key Concept
Therapeutic Communication vs. Non-therapeutic Blocks