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Zorluk: ZorTherapeutic Communication

An older adult client is admitted to the medical-surgical unit with end-stage heart failure and is transitioning to palliative care. While the nurse is administering morning medications, the client stares out the window and states, 'I have worked tirelessly my entire life, and now my body is just quitting on me. It feels like absolutely none of it mattered.' Which of the following responses by the nurse demonstrate appropriate therapeutic communication? (Select all that apply)

  1. It sounds like you are experiencing a profound sense of frustration that your body is failing after working hard for so long.Cevap
  2. B
    Try to focus on the positive legacy you are leaving behind; we have excellent treatments to keep you comfortable.
  3. Can you share more with me about why it feels like your lifelong efforts did not matter?Cevap
  4. D
    You really should speak with the hospital chaplain about this; they specialize in helping patients find meaning.
  5. E
    Of course your life mattered. Look at the wonderful and supportive family who visits you every single afternoon.
  6. Remaining silently at the bedside while maintaining an open posture and making eye contact.Cevap

Cevap

The therapeutic interventions are reflecting the client's feelings, using open-ended questions to explore their statement, and utilizing active silence.
The correct therapeutic responses utilize techniques that validate the client's feelings and encourage further expression. Reflecting the client's stated frustration demonstrates empathy and active listening. Asking an open-ended question to explore why they feel their efforts did not matter encourages the client to verbalize their existential concerns. Utilizing active silence provides a supportive presence and allows the client time to process their complex emotions without pressure.

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1
Identify the client's underlying emotion and needs.
The client is expressing existential distress, anticipatory grief, and feelings of worthlessness related to terminal illness.
Recognizing the client's emotional state is prerequisite to selecting an appropriate, empathetic therapeutic technique.
2
Evaluate options for therapeutic communication techniques.
Reflecting feelings, exploring beliefs with open-ended questions, and using active silence validate the client's emotional experience and encourage further expression.
Therapeutic communication requires focusing on the client's feelings without judgment or immediate problem-solving.
3
Eliminate options that represent non-therapeutic barriers.
Responses that offer false reassurance, challenge the client's perception, or immediately refer the client away block communication and invalidate their distress.
Non-therapeutic techniques make the client feel unheard and abruptly shut down the emotional dialogue.

Anahtar Kavram

Therapeutic Communication in Palliative Care
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Konular

Therapeutic Communication

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