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Difficulty: MediumTherapeutic Communication

A practical nurse is providing discharge instructions to a client newly diagnosed with type 2 diabetes mellitus. The client looks down and states, 'I just do not think I can give up all my favorite foods. This whole diet thing is impossible, and I am probably going to fail.' Which response by the nurse is the most therapeutic?

  1. It sounds like you are feeling very overwhelmed by the thought of changing your eating habits.Answer
  2. B
    Why do you believe that you will fail at managing this new diet?
  3. C
    Do not worry; many people learn to adjust to this diet and you will do just fine.
  4. D
    You should start by just eliminating sugary drinks and then take it one day at a time.

Answer

The most therapeutic response is to reflect the client's feelings, stating that they sound very overwhelmed by the thought of changing their eating habits.
The correct answer utilizes reflection, a therapeutic communication technique that directs the client's feelings and ideas back to them. This validates the client's emotional experience of feeling overwhelmed and encourages them to elaborate on their concerns, fostering a supportive nurse-client relationship.

Step-by-Step Solution

1
Analyze the client's statement and nonverbal behavior.
The client is looking down and expressing feelings of impossibility, anticipated failure, and distress regarding dietary changes.
Understanding the client's emotional state is the first step in selecting an appropriate therapeutic communication technique.
2
Evaluate the nurse's response options for therapeutic and non-therapeutic techniques.
Identify reflection of feelings as therapeutic, while recognizing asking 'why', false reassurance, and giving advice as communication blocks.
Therapeutic communication should focus on the client, validate their feelings, and encourage open dialogue, while avoiding statements that belittle or put the client on the defensive.
3
Select the option that best facilitates communication and addresses the client's immediate emotional needs.
The reflective statement acknowledges the client's overwhelmed state and invites them to share more.
Reflection demonstrates empathy and active listening, which builds trust and rapport.

Key Concept

Therapeutic Communication Techniques
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Topics

Therapeutic Communication

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