A nurse is caring for a 32-year-old client admitted to the burn unit with severe facial burns following a workplace accident. While the nurse is preparing for a dressing change, the client turns away from the mirror and states, 'I do not even want my spouse or children to visit me. I look like a monster. They will not be able to stand looking at my face.' Which of the following responses by the nurse demonstrate effective therapeutic communication? Select all that apply.
- You are worried that your family will be distressed by the changes in your appearance.Answer
- BWith modern skin grafting and plastic surgery, you will eventually look exactly the same as you did before.
- Help me understand what concerns you the most when you think about your spouse and children seeing you.Answer
- DIf I were in your situation, I would let them come visit now so they can get used to seeing the bandages.
- I can sit here with you for a few minutes before we start the dressing change if you would like to talk.Answer
- FWe should focus on keeping this area clean right now so that you do not develop a severe infection.
Answer
The correct therapeutic responses involve restating the client's feelings, exploring their concerns, and offering the nurse's presence.
The correct responses utilize established therapeutic communication techniques. Stating that the client is worried about their family's distress uses 'restatement' and 'reflection,' which validates the client's feelings. Asking the client to help the nurse understand their concerns uses 'open-ended exploration,' gently encouraging the client to elaborate on their fears. Offering to sit with the client uses 'offering self,' which demonstrates acceptance, empathy, and a willingness to support the client emotionally without demanding they speak.
Step-by-Step Solution
Key Concept
Therapeutic Communication: Responding to Altered Body Image and Severe Anxiety