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Zorluk: KolayMental Health Concepts

A practical nurse (PN) is caring for a client admitted to the medical-surgical floor who is awaiting biopsy results. The client is pacing the room, crying, and states, "I cannot stop worrying. What if I have cancer?" Which of the following responses by the PN is the most therapeutic?

  1. "It sounds like you are very fearful about the results. I am here to listen if you want to talk."Cevap
  2. B
    "Try not to worry too much; everything usually turns out fine."
  3. C
    "Why do you think the results will show that you have cancer?"
  4. D
    "You should try watching some television to take your mind off the wait."

Cevap

The response that acknowledges the client's fear and offers a listening ear is the most therapeutic choice.
The correct answer uses the therapeutic communication techniques of acknowledging feelings, offering self, and providing an open-ended invitation to share. This validates the client's emotional state and encourages further expression of their concerns in a supportive environment.

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1
Identify the client's current emotional state and the core issue.
The client is highly anxious and expressing fear about an unknown medical outcome (biopsy results).
Understanding the client's emotional baseline is required to select an appropriate therapeutic response.
2
Evaluate the response options against principles of therapeutic communication.
Identify responses that use non-therapeutic blocks such as giving advice, asking 'why', or offering false reassurance.
Non-therapeutic blocks hinder communication and invalidate the client's feelings.
3
Select the response that validates the client's feelings and encourages open expression.
The response stating "It sounds like you are very fearful..." is chosen.
This approach builds trust, shows empathy, and allows the client to guide the conversation without judgment.

Anahtar Kavram

Therapeutic Communication
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