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Zorluk: OrtaCoping Mechanisms

A client recently diagnosed with end-stage renal disease states to the practical nurse (PN), "The laboratory must have mixed up my blood samples. There is no way my kidneys are failing because I feel perfectly fine." Which of the following responses by the PN is the most appropriate?

  1. It sounds like receiving this unexpected diagnosis has been very overwhelming for you.Cevap
  2. B
    Our hospital laboratory has strict safety protocols, so a mix-up is highly unlikely.
  3. C
    Try not to worry too much; many people live full lives while undergoing dialysis.
  4. D
    Why do you believe that the staff made a mistake with your specific blood sample?

Cevap

The most appropriate response is to state, "It sounds like receiving this unexpected diagnosis has been very overwhelming for you."
The correct response utilizes the therapeutic technique of reflection and empathy. By acknowledging the client's feelings of being overwhelmed by the news, the practical nurse validates the client's emotional distress without agreeing with the denial or arguing against it. This approach builds trust and keeps the lines of communication open, allowing the client to process the information at their own pace.

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1
Analyze the client's statement to identify the underlying coping mechanism.
The client is refusing to accept the new diagnosis and attributing it to a laboratory error, which indicates the use of denial to cope with severe stress.
Understanding the client's emotional state dictates the appropriate therapeutic communication strategy.
2
Evaluate the role of the PN in responding to a client exhibiting denial.
The PN must respond therapeutically to support the client emotionally without reinforcing the denial or aggressively breaking it down.
Direct confrontation can increase anxiety, while validation fosters trust and a safe environment for the client.
3
Assess the provided options against the principles of therapeutic communication.
Defending the lab, giving false reassurance, and asking 'why' questions are all non-therapeutic blocks. Reflecting the client's feelings is therapeutic.
Eliminating communication blocks ensures the selected response will facilitate a supportive dialogue.

Anahtar Kavram

Therapeutic Communication in Response to Coping Mechanisms
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Konular

Coping Mechanisms

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