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Zorluk: OrtaTherapeutic Communication

A practical nurse is caring for an older adult client who has just been informed by the interprofessional team that they must transition to a skilled nursing facility rather than returning to their private residence. The client begins to cry and states, "I am losing all of my independence. Everything that makes my life meaningful is completely over." Which of the following is the most therapeutic response by the nurse?

  1. A
    Why do you feel that your life is completely over just because you are moving to a new environment?
  2. B
    If I were in your situation, I would view this as a wonderful opportunity to rest and meet new friends.
  3. It sounds as though you are experiencing a deep sense of loss regarding your independence and your home.Cevap
  4. D
    Try to focus on the positive aspects; you will have continuous care and will not have to worry about daily chores.

Cevap

The response that reflects the client's feelings of loss regarding their independence and home is the most therapeutic choice.
The correct response utilizes the therapeutic technique of reflection. By acknowledging and restating the underlying emotions in the client's statement, the nurse validates the client's profound emotional pain. This approach demonstrates active listening, builds trust, and provides a safe opening for the client to process their grief without feeling judged or dismissed.

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1
Analyze the client's statement and current emotional state.
The client is crying and expressing profound grief and fear over the loss of independence due to an impending transition to a skilled nursing facility.
Understanding the client's core emotion is essential to select a response that appropriately validates these feelings rather than dismissing them.
2
Evaluate the given options to identify therapeutic versus non-therapeutic communication techniques.
Responses involving asking "why", giving personal advice, and attempting to enforce a positive outlook are identified as non-therapeutic communication blocks. The reflective statement correctly identifies the client's feelings.
Effective therapeutic communication requires recognizing and avoiding blocks while utilizing techniques that promote open expression and emotional validation.
3
Select the response that utilizes a validated therapeutic communication technique.
The response utilizing reflection to acknowledge the client's sense of loss is chosen.
Reflection demonstrates empathy and encourages the client to explore and express their feelings further in a safe, non-judgmental space.

Anahtar Kavram

Therapeutic Communication
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Konular

Therapeutic Communication

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