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Zorluk: OrtaMental Health Concepts

A client is admitted to the behavioral health unit for treatment of severe anxiety and obsessive-compulsive behaviors. During the admission data collection, the client repeatedly organizes the items on the bedside table and avoids eye contact. The client abruptly says, "If everything isn't perfectly straight, something terrible is going to happen to my family." Which response by the practical nurse demonstrates the most appropriate therapeutic communication?

  1. A
    Your family is perfectly safe at home, so you do not need to worry about them.
  2. B
    Why do you believe that the arrangement of these items controls what happens to your loved ones?
  3. It must be very exhausting to feel like you have to keep everything in perfect order to keep your family safe.Cevap
  4. D
    Let's focus on relaxing and putting those thoughts out of your mind for the evening.

Cevap

The most appropriate response is the one that validates the client's feelings by stating how exhausting it must be to feel the need to keep everything in perfect order.
The correct response utilizes empathy and validation. By acknowledging the client's underlying feelings of exhaustion and fear without judging the compulsion itself, the nurse builds trust and encourages further open communication.

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1
Analyze the client's statement and behavior.
The client is expressing severe anxiety and an irrational fear connected to their compulsive behavior of organizing items.
Identifying the underlying emotion and distress is the first step in choosing a therapeutic and supportive response.
2
Evaluate the communication choices against therapeutic techniques.
Select the option that uses empathy and validation while avoiding non-therapeutic blocks such as giving advice, asking 'why' questions, or offering false reassurance.
Therapeutic communication requires acknowledging feelings without judging, probing unnecessarily, or dismissing the client's reality.

Anahtar Kavram

Therapeutic Communication
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