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Difficulty: MediumTherapeutic Communication

While conducting morning rounds on the postpartum unit, a practical nurse observes a client crying softly in bed. The client's newborn was transferred to the neonatal intensive care unit for respiratory distress overnight. The client states, "I cannot stop thinking that this is my fault. I must have done something wrong during my pregnancy." Which of the following is the most therapeutic response by the nurse?

  1. You are feeling responsible for your baby's transfer to the intensive care unit?Answer
  2. B
    Try not to worry; the intensive care team is highly skilled and takes excellent care of the babies.
  3. C
    You need to focus on resting and recovering from childbirth so you can be strong for your infant.
  4. D
    Why do you believe that your actions during pregnancy caused your baby's breathing problems?

Answer

The response utilizing reflection to address the client's feelings of responsibility.
The correct response utilizes the therapeutic technique of reflection. By restating the client's core message in a questioning, empathetic tone, the nurse validates the client's profound feelings of guilt and provides an open, non-judgmental space for the client to explore and verbalize their distress.

Step-by-Step Solution

1
Analyze the client's statement and current situation to identify the primary emotional need.
The client is expressing deep guilt and anxiety regarding the newborn's unexpected transfer to the intensive care unit.
Identifying the core emotion is necessary to select a response that validates the client's feelings rather than dismissing them.
2
Evaluate the response choices to identify non-therapeutic communication blocks.
Three options utilize communication blocks: giving false reassurance, offering unwarranted advice, and asking an intimidating 'why' question.
Non-therapeutic techniques shut down dialogue, make the client feel defensive, or minimize their lived experience.
3
Identify the option that applies a validated therapeutic communication technique.
The option that restates the client's feeling of responsibility uses the therapeutic technique of reflection.
Reflection demonstrates active listening, validates the client's emotional state, and invites further exploration of their concerns without judgment.

Key Concept

Therapeutic Communication: Reflection and Active Listening
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Topics

Therapeutic Communication

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