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Zorluk: OrtaGrief and Loss

A nurse on a rehabilitation unit is providing morning care for a client who is recovering from a recent surgical procedure. The client's adult child died unexpectedly two weeks ago. While being assisted with hygiene, the client begins to cry and states, "I just realized that I will never hear her voice call my name again." Which response by the nurse is most therapeutic?

  1. A
    It is completely normal to be in the depression stage right now; the pain will eventually lessen.
  2. B
    Why do you think this sudden realization is hitting you so hard this morning?
  3. I can sit here with you for a while if you would like to talk about her.Cevap
  4. D
    You should try to focus on your physical therapy today so you can recover and go home.

Cevap

The most therapeutic response is to offer a supportive presence and give the client the opportunity to talk about the deceased child.
Offering self by stating a willingness to sit with the client is a highly effective therapeutic communication technique. It demonstrates care, provides a supportive presence, and encourages the client to share their feelings without feeling pressured or judged.

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1
Analyze the client's statement and current emotional state.
The client is expressing acute grief, sadness, and a realization of the permanence of their loss during a vulnerable moment of care.
Understanding the emotional context is necessary to select a response that validates the client's feelings and provides appropriate support.
2
Evaluate each option based on the principles of therapeutic communication.
Offering to sit and listen is the only therapeutic choice, whereas the other options use communication blocks or rigidly label the grieving process.
Effective grief support requires active listening, empathy, and presence rather than giving advice, probing, or placing expectations on the client's grief trajectory.

Anahtar Kavram

Therapeutic Communication in Acute Grief
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