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Zorluk: KolayMental Health Concepts

A practical nurse (PN) is providing care in a long-term care facility for an older adult client whose spouse passed away a few weeks ago. The client is crying softly in their room and states, "I do not know how I am going to live without him. It is just too hard." Which response by the PN is most therapeutic?

  1. It sounds like you are feeling incredibly overwhelmed and sad right now.Cevap
  2. B
    Why do you think it will be too hard to go on without him?
  3. C
    You should try focusing on the positive memories you shared together.
  4. D
    Everything will become easier once you get used to your new daily routine.

Cevap

The correct response is the statement that acknowledges and reflects the client's feelings of being overwhelmed and sad.
The correct response uses the therapeutic communication techniques of reflection and empathy. By acknowledging the client's feelings of being overwhelmed and sad, the PN validates their emotional experience and provides a safe, non-judgmental space for the client to express their grief.

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1
Analyze the client's statement and current emotional state.
The client is expressing deep sadness, grief, and feeling overwhelmed by the loss of their spouse.
Identifying the core emotion is necessary to provide an empathetic, therapeutic response.
2
Evaluate each option against the principles of therapeutic communication.
Three of the statements utilize non-therapeutic communication blocks: asking a probing 'why' question, giving unsolicited advice, and offering false reassurance.
Practical nurses must avoid non-therapeutic techniques that can invalidate the client's feelings or halt communication.
3
Select the option that utilizes a recognized therapeutic technique.
The statement reflecting the client's feelings is the only therapeutic choice.
Reflection and empathy validate the client's experience and encourage them to continue sharing without feeling judged.

Anahtar Kavram

Therapeutic Communication in Grief and Loss
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