A client with severe chronic obstructive pulmonary disease is informed by the pulmonologist that their condition has deteriorated and they will require continuous home oxygen therapy. After the physician leaves the room, the client tightly grips the bedrails and states in an elevated voice, 'This is completely unacceptable. There has to be a new medication I haven't tried. I refuse to drag a tank around with me everywhere I go.' Which of the following is the most therapeutic response by the nurse?
- AYou need to understand that without this oxygen, you are putting a significant strain on your heart.
- BI know this is difficult to hear, but many people live very active lives while using portable oxygen.
- It must be overwhelming to learn about this change and how it will impact your daily independence.Answer
- DWhy are you so resistant to using a therapy that will help you breathe much more easily?
Answer
The most therapeutic response validates the client's emotions and reflects their underlying concerns about losing independence.
The correct answer utilizes the therapeutic techniques of empathy and reflecting feelings. By acknowledging the client's overwhelming emotions and the specific concern about independence, the nurse validates the client's experience without judgment. This encourages further expression of feelings and builds the therapeutic nurse-client relationship.
Step-by-Step Solution
Key Concept
Therapeutic Communication: Validating and Reflecting Feelings