A client who sustained deep partial-thickness facial burns in a residential fire three weeks ago is preparing for discharge. While the practical nurse is changing the facial dressings, the client turns away from the mirror and says, 'Just cover it up quickly. I look like a monster. My life is completely ruined and nobody will ever accept me like this.' Which of the following responses by the nurse use therapeutic communication techniques? Select all that apply.
- It must be overwhelming to think about facing people right now.Answer
- BTry not to focus on your appearance; the most important thing is that you survived the fire.
- CWhy are you assuming that your friends and family will not accept you?
- Would you like to talk more about these concerns you have regarding your future?Answer
- EYour scars will fade significantly over time once the skin grafts fully heal.
- I will sit here with you for a while, and we do not have to talk unless you want to.Answer
Answer
The correct therapeutic responses include acknowledging the client's overwhelming feelings, offering to talk more about their concerns, and offering self by sitting with them in silence.
Therapeutic communication focuses on validating the client's feelings and providing a safe space for expression. Acknowledging that the situation is overwhelming validates their emotional pain. Asking if they would like to talk more uses the technique of exploring to encourage dialogue. Offering to sit with the client without the pressure to talk demonstrates the technique of offering self, which conveys unconditional support and acceptance.
Step-by-Step Solution
Key Concept
Therapeutic communication techniques vs. non-therapeutic blocks