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Zorluk: OrtaCoping Mechanisms

A practical nurse is assigned to a client who recently had a tense telephone conversation with a family member. Shortly after the call, the client throws a book onto the floor and shouts at the nurse, "You never bring me my water when I ask! Everyone in this facility is completely useless!" Which of the following is the most appropriate response by the nurse?

  1. "You appear very angry right now. I can stay here with you if you would like to talk about what is upsetting you."Cevap
  2. B
    "Why are you yelling at me? I have always brought your water as soon as you asked for it."
  3. C
    "Try not to let the phone call upset you so much; family disagreements happen to everyone."
  4. D
    "If you continue to throw items, I will have to request medication from your provider to calm you down."

Cevap

The response that acknowledges the client's anger and offers to stay and listen.
The client is demonstrating displacement by redirecting their anger from the family member (a threatening source) to a less threatening target (the nurse). The correct response acknowledges the client's visible emotions and offers therapeutic presence without becoming defensive, which facilitates adaptive coping and de-escalation.

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1
Identify the client's underlying behavior.
The client is angry about a phone call but is redirecting that anger at the nurse (displacement).
Recognizing the defense mechanism of displacement helps the nurse understand that the anger is not genuinely about the water or the facility.
2
Determine the therapeutic nursing intervention for a client using displacement.
The nurse must remain calm, validate the observed emotion, and offer therapeutic presence.
De-escalation requires a non-judgmental approach that encourages the client to discuss the true source of their anxiety or anger without facing defensiveness.
3
Evaluate the given options against principles of therapeutic communication.
Only the option offering to stay and talk avoids communication blocks.
Other options utilize defensive posturing, false reassurance, or threats of chemical restraints, all of which hinder adaptive coping.

Anahtar Kavram

Therapeutic Communication for Coping Mechanisms (Displacement)
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Konular

Coping Mechanisms

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