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Question

Difficulty: MediumTherapeutic Communication

Match each client statement or behavioral scenario with the most appropriate therapeutic nursing response.

  • "I cannot believe I have to take insulin for the rest of my life. My body is completely broken.""You are feeling overwhelmed and disappointed by your body's new limitations."
  • "My daughter wants me to move into a nursing home, but I want to stay in my house. I don't know what to do.""Let's outline the advantages and disadvantages of both living situations to help you decide."
  • (The client sits in a darkened room, avoiding eye contact and refusing to eat breakfast after a pregnancy loss.)"I notice you haven't touched your breakfast. I have some time and will sit here with you for a while."
  • "I read on the internet that this new medication causes severe liver failure. I am definitely not taking it!""Tell me more about the specific information you read that concerns you."

Answer

The correct matches align the client's underlying emotional need with the corresponding therapeutic technique: reflection for grief, encouraging evaluation for decision-making, offering self for withdrawal, and exploring for anxiety-driven misinformation.
Therapeutic communication requires the nurse to purposefully select techniques based on the client's immediate psychosocial needs. Reflection validates feelings of loss, encouraging evaluation promotes client autonomy in decision-making, offering self demonstrates unconditional support for withdrawn clients, and exploring clarifies the specific sources of a client's anxiety.

Step-by-Step Solution

1
Analyze the client expressing disbelief about taking insulin.
Identify the core emotion as grief and altered body image.
Understanding the underlying emotion dictates the need for a validating technique like reflection, rather than false reassurance.
2
Analyze the client experiencing conflict over moving to a nursing home.
Identify the need for decision-making support without giving advice.
The therapeutic technique of encouraging evaluation helps the client weigh options autonomously.
3
Analyze the nonverbal, withdrawn client refusing breakfast.
Identify severe grief and a potential temporary inability to verbalize feelings.
Making observations and offering self provides a supportive presence without placing demands on the client to communicate verbally.
4
Analyze the client refusing medication due to internet research.
Identify the presence of anxiety driven by specific, potentially inaccurate information.
The technique of exploring allows the nurse to gather more details about the client's fears before intervening with education.

Key Concept

Therapeutic Communication
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Topics

Therapeutic Communication

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