A practical nurse is providing support to the spouse of a client who recently received a terminal diagnosis and was placed on hospice care. The spouse is crying and states, 'I do not understand why he is so angry with me. I am just trying to help.' Which of the following responses by the nurse are therapeutic and appropriate? Select all that apply.
- Anger is a common emotional response when someone is facing a terminal illness.Answer
- BWhy do you think he is taking his anger out on you?
- Would you like to sit down and talk about how you are feeling right now?Answer
- DHe will soon move into the bargaining stage of grief, as everyone goes through the steps in order.
- It might be helpful to simply sit quietly with him when he feels overwhelmed.Answer
Answer
The appropriate responses involve validating the anger as a common emotional response, offering to discuss the spouse's feelings, and suggesting quiet presence as a supportive measure.
The correct responses utilize therapeutic communication techniques such as providing factual validation about grief, offering self, and utilizing silence. These approaches support the family emotionally without minimizing their feelings.
Step-by-Step Solution
Key Concept
Therapeutic communication and grief support during end-of-life care