A practical nurse is providing care to several clients who are experiencing emotional distress. Match each client's clinical presentation or statement to the most appropriate therapeutic communication technique the nurse should implement initially.
- A client scheduled for an invasive diagnostic test is pacing the room, wringing their hands, and breathing rapidly.Making observations
- A client who recently received a terminal prognosis sits silently on the edge of the bed with tears rolling down their face.Offering self
- A client asks, "Should I agree to the aggressive treatment my doctor recommends, or should I just go to hospice like my son wants?"Reflecting
- A client states, "Every time I try to explain my fatigue to my partner, we end up in a terrible argument."Exploring
Cevap
The correct matches align the client's psychosocial presentation with the therapeutic technique that best addresses their immediate emotional need: pacing and wringing hands matches with making observations; silent crying matches with offering self; asking for advice on treatment matches with reflecting; and mentioning relationship arguments matches with exploring.
Therapeutic communication requires selecting the technique that best fits the client's current emotional and cognitive state. Making observations addresses visible anxiety safely; offering self supports the silently grieving client; reflecting helps a conflicted client analyze their own choices; and exploring delves into interpersonal stressors.
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Anahtar Kavram
Therapeutic Communication Techniques in Psychiatric and Medical-Surgical Settings