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Zorluk: KolayCoping Mechanisms

A client is admitted to the medical-surgical unit after experiencing a sudden loss of vision in the right eye. The client is pacing the room, crying, and states, "I cannot live like this! I will never be able to work again." The nurse recognizes the client is experiencing acute stress. Which of the following nursing interventions are appropriate to promote adaptive coping? Select all that apply.

  1. Sit quietly with the client and maintain a calm, unhurried presence.Cevap
  2. B
    Tell the client, "Everything will be fine once the medical treatment starts working."
  3. Encourage the client to express their fears and feelings about the vision loss.Cevap
  4. D
    Explain that other clients have experienced worse injuries and adapted well over time.
  5. E
    Ask the client, "Why are you assuming you will never be able to work again?"
  6. Assist the client in identifying coping strategies that have been successful for them in the past.Cevap

Cevap

The appropriate interventions are to sit quietly and maintain a calm presence, encourage the client to express their fears and feelings, and assist the client in identifying previously successful coping strategies.
The correct interventions focus on active listening, establishing a supportive and non-judgmental presence, exploring the client's feelings, and utilizing past effective coping mechanisms. These strategies empower the client and validate their emotional experience, which are essential components of facilitating adaptive coping during a health crisis.

Adım Adım Çözüm

1
Analyze the client's emotional state and statements to identify acute stress and ineffective coping.
The client is in acute distress and grieving a sudden, significant change in their health status.
Understanding the client's emotional baseline is required to select appropriate psychosocial interventions.
2
Evaluate each potential nursing intervention to determine if it uses therapeutic or non-therapeutic communication.
Therapeutic actions validate feelings and provide support; non-therapeutic actions block communication (e.g., false reassurance, asking 'why', minimizing).
Only therapeutic communication techniques promote the development of adaptive coping mechanisms.
3
Select the interventions that establish trust and empower the client.
Providing a calm presence, encouraging emotional expression, and identifying past successful strategies are selected as the correct therapeutic actions.
These actions directly address the client's acute stress without dismissing their fears.

Anahtar Kavram

Promoting adaptive coping mechanisms through therapeutic communication
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Coping Mechanisms

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