Examkin

Soru

Zorluk: OrtaEnd of Life Care

An individual with end-stage renal disease has elected to discontinue hemodialysis and transition to comfort measures. The client's sibling approaches the licensed practical nurse (LPN) and states, "We need to talk him into restarting the treatments. If he just pushes through this temporary depression, I know he will change his mind and fight this." Which of the following is the most therapeutic response by the LPN?

  1. It sounds like you are finding it very difficult to accept your sibling's decision to stop treatment.Cevap
  2. B
    Many clients take a short break from treatments and then decide to resume them later.
  3. C
    You are currently experiencing the denial stage of grief, but you will eventually come to accept this.
  4. D
    You must respect the client's autonomy, because we cannot legally force anyone to undergo dialysis.

Cevap

The most therapeutic response is the one that reflects and validates the sibling's underlying feelings of distress regarding the treatment decision.
The correct response utilizes the therapeutic communication technique of reflection. By stating 'It sounds like you are finding it very difficult...', the nurse validates the sibling's emotional pain and opens the door for further exploration of their feelings in a non-judgmental manner.

Adım Adım Çözüm

1
Analyze the sibling's statement to identify the core underlying emotion.
The sibling is expressing profound difficulty and resistance to accepting the client's terminal decision, masking this pain as a desire to convince the client to continue treatment.
Identifying the true emotion is necessary to formulate a response that addresses the family member's psychosocial needs.
2
Evaluate each response option against established therapeutic communication principles.
The option beginning with 'It sounds like...' actively reflects the sibling's feelings. The other options utilize non-therapeutic communication blocks such as offering false reassurance, clinical labeling, or defensive lecturing.
LPNs must use therapeutic techniques to support grieving families effectively rather than shutting down the conversation.

Anahtar Kavram

Therapeutic Communication in End of Life Care
Tahmini Süre:1m 0s
Bu soruyu puanla

Konular

End of Life Care

Bu konudan daha fazla soru