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Zorluk: KolayTherapeutic Communication

A client who has just received a diagnosis of a chronic illness is visibly agitated, pacing the room, and states, "I do not know how I am going to manage this. My life is over." Which of the following responses by the nurse demonstrate therapeutic communication? Select all that apply.

  1. "It sounds like you are feeling very overwhelmed by this news."Cevap
  2. "I will stay here with you for a while if you would like."Cevap
  3. C
    "Try not to worry; the healthcare team has an excellent treatment plan for you."
  4. D
    "Why do you feel like your life is over when there are so many treatment options?"

Cevap

The therapeutic responses involve reflecting the client's overwhelmed feelings and offering a supportive presence.
The correct responses utilize active listening, reflection, and offering self. Acknowledging that the client feels overwhelmed validates their current emotional experience without trying to prematurely 'fix' the problem. Offering to sit with the client demonstrates unconditional positive regard, empathy, and availability, which are foundational to a therapeutic nurse-client relationship.

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1
Analyze the client's current emotional state and nonverbal behavior.
The client is experiencing high anxiety, distress, and despair related to a new chronic illness diagnosis, evidenced by pacing and fatalistic statements.
Understanding the client's emotional baseline is necessary to select a communication approach that builds trust and safety.
2
Evaluate each nursing response against established principles of therapeutic communication.
Reflecting the client's emotions and offering personal presence are effective therapeutic techniques. Minimizing feelings with reassurance and probing with 'why' questions are communication blocks.
Therapeutic communication should facilitate the client's expression of feelings, whereas non-therapeutic communication shuts down dialogue.

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Therapeutic Communication
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Therapeutic Communication

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