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Zorluk: KolayCoping Mechanisms

A client who was recently diagnosed with type 2 diabetes angrily yells at the practical nurse, stating, "This hospital food is disgusting, and no one here knows what they are doing!" Which of the following is the most appropriate response by the nurse?

  1. You seem very upset. Would you like to talk about how you are feeling?Cevap
  2. B
    Why are you yelling at me? I did not cook your food.
  3. C
    Everything will be fine once you get used to your new diet.
  4. D
    You should try to look on the bright side, because diabetes is very manageable.

Cevap

The most appropriate response acknowledges the client's emotions by stating they seem upset and offers a safe opportunity to talk about their feelings.
The correct answer utilizes the therapeutic communication techniques of making an observation ('You seem very upset') and offering self ('Would you like to talk...'). By acknowledging the client's emotions without judgment, the nurse validates the client's feelings. This helps the client feel safe to explore the actual source of their anger, which is likely the stress of their new diagnosis, thereby promoting adaptive coping.

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1
Identify the underlying cause of the client's angry behavior.
The client is likely using displacement to cope with the stress of the new diabetes diagnosis, directing their frustration at the food and staff.
Clients often project or displace anger onto safer targets when feeling overwhelmed by a health crisis.
2
Select the response that utilizes therapeutic communication to support adaptive coping.
Reflecting the client's feelings and offering a listening ear addresses the emotional distress directly without being defensive.
Therapeutic communication techniques, such as making observations and offering self, encourage the client to express the true source of their anxiety.

Anahtar Kavram

Therapeutic Communication to Support Coping Mechanisms
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