An older adult client is admitted to the medical-surgical unit with end-stage heart failure and is transitioning to palliative care. While the nurse is administering morning medications, the client stares out the window and states, 'I have worked tirelessly my entire life, and now my body is just quitting on me. It feels like absolutely none of it mattered.' Which of the following responses by the nurse demonstrate appropriate therapeutic communication? (Select all that apply)
- It sounds like you are experiencing a profound sense of frustration that your body is failing after working hard for so long.Answer
- BTry to focus on the positive legacy you are leaving behind; we have excellent treatments to keep you comfortable.
- Can you share more with me about why it feels like your lifelong efforts did not matter?Answer
- DYou really should speak with the hospital chaplain about this; they specialize in helping patients find meaning.
- EOf course your life mattered. Look at the wonderful and supportive family who visits you every single afternoon.
- Remaining silently at the bedside while maintaining an open posture and making eye contact.Answer
Answer
The therapeutic interventions are reflecting the client's feelings, using open-ended questions to explore their statement, and utilizing active silence.
The correct therapeutic responses utilize techniques that validate the client's feelings and encourage further expression. Reflecting the client's stated frustration demonstrates empathy and active listening. Asking an open-ended question to explore why they feel their efforts did not matter encourages the client to verbalize their existential concerns. Utilizing active silence provides a supportive presence and allows the client time to process their complex emotions without pressure.
Step-by-Step Solution
Key Concept
Therapeutic Communication in Palliative Care