Question

Difficulty: MediumTherapeutic Communication

A practical nurse is assisting in a community health clinic. A client, who was just informed by the healthcare provider about a suspicious mass found on a routine screening, is pacing the examination room, wringing their hands, and speaking rapidly. The client states, 'I cannot believe this is happening. What if it is cancer? Who will take care of my children if I am gone?' Which response by the practical nurse is the most therapeutic?

  1. You are feeling very overwhelmed and worried about what will happen to your children.Answer
  2. B
    Try not to worry too much; many masses turn out to be completely harmless.
  3. C
    You should sit down and take some deep breaths so we can discuss the next steps.
  4. D
    Why are you immediately assuming the worst when we do not have any biopsy results yet?

Answer

The most therapeutic response is to reflect the client's feelings by acknowledging their overwhelming worry about their children.
The correct answer utilizes the therapeutic communication technique of reflection. By restating the client's primary concerns and acknowledging their emotional state, the nurse validates the client's feelings and creates a safe space for them to continue expressing their fears without judgment.

Step-by-Step Solution

1
Analyze the client's emotional state and statement.
The client is exhibiting severe anxiety and expressing fear regarding a potential cancer diagnosis and the future of their children.
Understanding the core emotion is necessary to select an appropriate therapeutic response.
2
Evaluate the nursing responses for therapeutic communication techniques.
The correct response uses reflection and empathy, while the others use non-therapeutic blocks (false reassurance, giving advice, asking 'why').
Therapeutic communication should focus on the client, validate feelings, and avoid minimizing their concerns.

Key Concept

Therapeutic Communication
Estimated Time:1m 0s
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