Nurses use distinct communication strategies tailored to a client's immediate emotional state. Connect each observed client situation with the nursing response that best demonstrates an appropriate therapeutic approach.
- A client with a new amputation states, 'I refuse to look at the surgical site. My life is completely ruined.'"You are feeling overwhelmed and devastated by the changes to your body."
- A preoperative client paces rapidly and states, 'What if the anesthesia fails? I am terrified of waking up during the procedure.'"Tell me more about the specific fears you have regarding the anesthesia."
- A hospitalized client yells, 'This place is terrible! I pressed the call button twenty minutes ago and nobody came!'"You are frustrated because you feel your requests for assistance are being ignored."
- A client who received a terminal diagnosis earlier today sits silently in a dark room, avoiding eye contact with staff."I have some free time right now, so I will just pull up a chair and sit with you for a while."
Cevap
The amputation client experiencing grief matches with the reflective response ('You are feeling overwhelmed...'). The anxious preoperative client matches with the exploring response ('Tell me more...'). The angry client matches with the restating/validating response ('You are frustrated...'). The silent, terminally ill client matches with the offering self response ('I will just pull up a chair...').
Each correct pairing matches a specific therapeutic communication technique to the client's psychosocial need. Reflection is used for acute grief, exploring is used for verbalized anxiety, restating is used to de-escalate anger by showing the client they were heard, and offering self is used to support withdrawn clients in shock.
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Anahtar Kavram
Therapeutic Communication Techniques