A practical nurse (PN) enters the room of a client who was recently admitted to a hospice facility. The client's sibling is sitting at the bedside crying and states, "I do not know what I am going to do without them. We have lived together for over 60 years." Arrange the PN's actions in the most appropriate therapeutic sequence. All options must be used.
- 1Provide a box of tissues and sit quietly at the bedside.
- 2State, "It sounds like you and your sibling share a very deep bond."
- 3Utilize active listening while the sibling shares stories about their shared life.
- 4Ask the sibling if there are other family members or friends they would like to call.
- 5Offer to arrange a visit from the facility's chaplain or bereavement counselor.
Cevap
The most appropriate therapeutic sequence begins with establishing a supportive presence, followed by validating the sibling's feelings, actively listening to their stories, assessing for personal support systems, and finally offering interdisciplinary resources.
In psychosocial interventions involving acute anticipatory grief, the nursing process prioritizes immediate emotional safety and therapeutic presence. Nonverbal communication (offering tissues, sitting quietly) establishes trust and a safe environment. Next, verbal validation (using reflection) acknowledges the significance of the relationship and encourages the expression of feelings. Active listening allows the individual to process their grief. Only after the immediate emotional peak has stabilized and feelings have been expressed should the nurse transition to assessing personal support systems (family or friends) and offering interdisciplinary interventions (chaplain or bereavement counselor).
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Anahtar Kavram
Therapeutic Communication Sequence in Anticipatory Grief
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