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Zorluk: ZorTherapeutic Communication

A client who is 3 days postoperative following a below-the-knee amputation turns away from the practical nurse and stares at the wall. The client states, "There is no point in trying to get out of bed. I am never going to be normal again." Which response by the nurse is the most therapeutic?

  1. A
    Many clients with amputations go on to live completely active lives once they receive their prosthesis.
  2. B
    If you refuse to get out of bed to exercise, you will develop complications such as pneumonia.
  3. C
    Why do you think there is no point in trying when your physical therapist noted you are healing well?
  4. You feel overwhelmed by the permanent changes to your body. I will sit here with you for a while.Cevap

Cevap

The most therapeutic response reflects the client's feelings of being overwhelmed and offers presence by stating a willingness to sit with them.
The correct answer utilizes two powerful therapeutic communication techniques: reflection (acknowledging that the client feels overwhelmed by body changes) and offering self (offering to sit with the client). This approach validates the client's acute distress without demanding an explanation and provides a supportive presence, which is essential during the grieving process associated with an amputation.

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1
Analyze the client's statement and nonverbal behavior.
The client is turning away, staring at the wall, and expressing hopelessness and loss of normalcy.
Understanding the emotional state (grief over loss of a body part) is necessary to select an appropriate therapeutic response.
2
Evaluate the response options against principles of therapeutic communication.
Responses that offer false reassurance, ask 'why', or use threats/lecturing are communication blocks.
These techniques invalidate the client's feelings and halt further communication.
3
Identify the most therapeutic technique among the choices.
Reflecting the client's feelings and offering presence ('offering self') is the correct choice.
Validating the client's distress and offering silent support encourages trust and allows the client to process their grief at their own pace.

Anahtar Kavram

Therapeutic Communication during Grief and Loss
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Konular

Therapeutic Communication

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