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Difficulty: EasyTherapeutic Communication

A client recovering from a recent colostomy placement turns away during a dressing change and states, "I feel like a monster. My body is completely ruined." Which statement by the nurse demonstrates the most therapeutic communication?

  1. This is a significant change to your body. Can you tell me more about what is most upsetting for you right now?Answer
  2. B
    Try to focus on the positive aspect; the surgical procedure successfully removed your disease.
  3. C
    Why do you think your body is ruined when the operation went exactly as planned?
  4. D
    If I were in your situation, I would start reading about other people who have overcome this.

Answer

The statement validating the significant change and asking the client to tell more about what is upsetting.
The correct answer utilizes two key therapeutic communication techniques: validation (acknowledging the significant physical change) and open-ended exploration (inviting the client to share more). This combination fosters trust and allows the client to freely express their grief and anxiety regarding their altered body image.

Step-by-Step Solution

1
Analyze the client's statement and nonverbal behavior.
The client is turning away and expressing severe distress regarding negative body image.
Understanding the client's emotional state dictates the therapeutic approach.
2
Evaluate the nursing responses for therapeutic communication techniques.
The most appropriate response must validate the client's feelings and encourage exploration without judgment, false reassurance, or giving advice.
Therapeutic communication aims to facilitate the client's expression of emotions and promote coping.

Key Concept

Therapeutic Communication: Validating and Encouraging Expression
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Topics

Therapeutic Communication

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