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Difficulty: MediumTherapeutic Communication

A nurse is caring for a client who had a permanent colostomy placed two days ago following emergency bowel surgery. When the nurse approaches to empty the ostomy pouch, the client turns away and states, 'I cannot even look at it. I feel like my body is completely ruined.' Which of the following is the most therapeutic response by the nurse?

  1. A
    Many people with ostomies go on to live completely normal and active lives.
  2. B
    Why do you believe that having this surgery has ruined your body?
  3. It sounds like you are feeling deeply overwhelmed by the recent changes to your body.Answer
  4. D
    You should try looking at the stoma for just a few minutes today to start getting used to it.

Answer

The most therapeutic response is to reflect and validate the client's feelings by stating that they sound deeply overwhelmed by the recent changes to their body.
The correct response utilizes the therapeutic communication technique of reflection. By restating the client's feelings without judgment, the nurse validates the client's distress regarding their altered body image. This approach demonstrates empathy, builds trust, and gently encourages the client to further explore and express their feelings when they are ready.

Step-by-Step Solution

1
Analyze the client's statement to identify their current emotional state.
The client is expressing grief, loss, and negative body image related to the new colostomy.
Understanding the underlying emotion is necessary to select a therapeutic communication technique.
2
Evaluate each response option for therapeutic communication principles.
Three options utilize communication blocks (false reassurance, asking 'why', giving advice), while one option utilizes reflection.
Identifying therapeutic vs. non-therapeutic techniques eliminates incorrect distractors.
3
Select the option that best facilitates open communication and acknowledges the client's current feelings.
The response reflecting the client's feelings of being overwhelmed is chosen.
Reflection and validation encourage the client to explore their emotions without feeling judged or rushed.

Key Concept

Therapeutic Communication: Reflection and Validation
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Topics

Therapeutic Communication

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