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Zorluk: OrtaTherapeutic Communication

A client who was recently diagnosed with terminal lung cancer is visibly distressed and tells the practical nurse, "I do not understand why this is happening to me. I have never even smoked a cigarette in my life." Which of the following responses by the nurse is the most therapeutic?

  1. It must be incredibly frustrating to receive this diagnosis when you have always avoided smoking.Cevap
  2. B
    Everything happens for a reason, and I am sure you will find the strength to get through this.
  3. C
    You should focus on the treatment options available to you right now rather than how you got the disease.
  4. D
    Why do you feel that only people who smoke cigarettes develop lung cancer?

Cevap

The response that acknowledges it must be incredibly frustrating to receive the diagnosis after avoiding smoking.
The correct response uses the therapeutic communication technique of reflection. By acknowledging and validating the client's specific feelings of frustration and unfairness regarding their smoking history, the nurse demonstrates empathy and encourages the client to safely express more of their emotions without fear of judgment.

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1
Analyze the client's statement and emotional state.
The client is expressing feelings of shock, unfairness, and anger regarding a terminal diagnosis despite making healthy lifestyle choices.
Identifying the core emotion is necessary to choose an appropriate therapeutic response.
2
Evaluate the nursing responses against therapeutic communication principles.
Identify the response that reflects the client's feelings without judging, giving advice, or minimizing the distress.
Therapeutic communication should facilitate the client's expression of feelings and build trust.

Anahtar Kavram

Therapeutic Communication: Reflection and Empathy
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