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Zorluk: OrtaTherapeutic Communication

Match each client clinical presentation with the most appropriate therapeutic communication response that the practical nurse should utilize in that specific situation.

  • A hospice client with end-stage renal disease who states, 'I am so worried about how my family will survive financially when I am gone.'"You are feeling concerned about your family's financial security after your death."
  • A client in a mental health unit who is continuously pacing the dayroom, avoiding eye contact, and breathing rapidly."You appear very restless and anxious right now. Let's sit down together."
  • An adolescent client who refuses to eat and states, 'Everyone thinks I look fine, but I know I am hideously overweight.'"Tell me more about the feelings you have regarding your body and weight."
  • A client on a medical-surgical unit who states, 'I want to stop my dialysis treatments, but I don't know how to break the news to my daughter.'"What ideas do you have about how to begin this conversation with her?"

Cevap

The hospice client matches with the reflecting response about financial security. The pacing client matches with the observation of restlessness. The adolescent client matches with the exploratory response about body feelings. The dialysis client matches with the response encouraging formulation of a plan.
Each clinical scenario requires a specific therapeutic communication technique tailored to the client's immediate needs. For the hospice client, reflecting validates their emotional concerns. For the pacing client, making observations acknowledges their visible distress. For the adolescent with body image issues, exploring encourages deeper discussion of their feelings. For the client stopping dialysis, encouraging formulation of a plan helps them navigate a difficult upcoming interaction.

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1
Analyze the hospice client's statement.
The client is expressing a direct emotional fear regarding their family's future.
The most therapeutic response is to reflect this feeling back to them to validate their emotions without dismissing the reality of the situation.
2
Evaluate the pacing mental health client's behavior.
The client is nonverbal but exhibiting visible signs of severe anxiety.
The most therapeutic response is to verbalize these physical observations to acknowledge their distress and invite them to share their feelings.
3
Consider the adolescent's statement about body image.
The client has a distorted self-perception and is expressing negative self-worth.
The most therapeutic response is to explore these feelings further rather than arguing with their perception or offering platitudes.
4
Assess the medical-surgical client's statement about dialysis.
The client has made a definitive treatment decision but is expressing anxiety about the next steps.
The most therapeutic response is to help them formulate a plan to facilitate their next action and build their confidence.

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Therapeutic Communication
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Therapeutic Communication

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