A nurse is caring for a client with severe obsessive-compulsive disorder on a behavioral health unit. The client is tearful and states, 'I spent three hours washing my hands this morning. I feel like my mind is completely broken, and I am never going to get better.' Which of the following responses by the nurse demonstrate the appropriate use of therapeutic communication? (Select all that apply.)
- It must be incredibly exhausting to feel like you have no control over these urges.Answer
- BYou should not worry too much; many clients improve significantly once their medications are adjusted.
- Tell me more about what you are experiencing when you say your mind is completely broken.Answer
- DWhy do you think you need to wash your hands for such a long period of time?
- I will stay and sit with you for a while right now as you are feeling this overwhelmed.Answer
Answer
The correct therapeutic responses include validating the client's feelings of exhaustion, exploring their statement about feeling broken, and offering the nurse's presence.
Effective therapeutic communication in psychiatric nursing focuses on validating the client's emotional experience, encouraging further exploration of their thoughts, and demonstrating unconditional support. Acknowledging the client's exhaustion reflects their feelings and builds empathy. Asking them to elaborate on feeling 'broken' uses the technique of exploration, which helps the client articulate their internal state without feeling rushed. Offering to sit with the client utilizes 'offering self,' which provides a comforting, non-judgmental presence when a client is highly distressed.
Step-by-Step Solution
Key Concept
Therapeutic Communication