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Zorluk: OrtaTherapeutic Communication

A nurse is caring for a young adult client who was recently diagnosed with multiple sclerosis. The client refuses to participate in physical therapy and tearfully states, "What is the point of trying? My body is just going to completely betray me anyway, and I will end up being a burden to my family." Which of the following nursing responses or actions demonstrate effective therapeutic communication? Select all that apply.

  1. "It sounds as though you are feeling overwhelmed and frightened about how this illness will affect your future."Cevap
  2. "Can you tell me more about what being a burden to your family means to you?"Cevap
  3. Remaining seated at eye level with the client while maintaining an attentive, silent presence.Cevap
  4. D
    "You should focus on the positive aspects of your life rather than worrying about the worst-case scenario."
  5. E
    "I know exactly how you feel; it is completely normal for most clients with this diagnosis to feel this way at first."
  6. F
    "Why do you believe that participating in physical therapy will not be beneficial for your condition?"

Cevap

The most effective therapeutic communication strategies include reflecting the client's feelings, using open-ended exploration, and employing active silence.
The correct responses utilize established therapeutic communication techniques. Reflecting the client's feelings validates their emotional distress without judgment. Asking open-ended questions about what being a 'burden' means encourages deeper exploration of their specific fears. Utilizing active, attentive silence provides a safe space for the client to process their diagnosis and demonstrates the nurse's unwavering support.

Adım Adım Çözüm

1
Analyze the client's statement to identify their core emotional state.
The client is expressing feelings of powerlessness, fear of the future, and anticipatory grief related to a chronic illness diagnosis.
Understanding the underlying emotion is essential to selecting a response that validates the client rather than minimizing their concerns.
2
Evaluate each nursing intervention against evidence-based therapeutic communication techniques.
Reflecting feelings, exploring meaning, and utilizing silence are identified as therapeutic, while giving advice, asking 'why', and making generalized statements are identified as barriers.
Therapeutic communication should focus on the client, foster trust, and encourage expression without judgment.
3
Select all options that represent therapeutic techniques.
The correct interventions are reflection, open-ended exploration, and active silence.
These techniques directly support the client's psychosocial needs during a crisis.

Anahtar Kavram

Therapeutic Communication in Psychosocial Care
Tahmini Süre:1m 30s
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