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Zorluk: KolayMental Health Concepts

A client on the behavioral health unit is pacing rapidly in the hallway, wringing their hands, and states, "I cannot take this anymore! Everything is falling apart." Which of the following are therapeutic nursing responses? Select all that apply.

  1. You seem very distressed right now. Let's sit down and talk about what is falling apart.Cevap
  2. B
    Try not to worry; everything will get better once your new medication starts working.
  3. C
    Why are you getting so upset about this?
  4. I will stay right here with you while you are feeling this overwhelmed.Cevap
  5. E
    Most people on this unit feel the exact same way when they first arrive.

Cevap

The therapeutic responses involve making supportive observations ("You seem very distressed right now...") and offering self ("I will stay right here with you...").
Therapeutic communication in a psychiatric setting focuses on prioritizing the client's current feelings and emotional safety. Making observations validates the client's visible distress and encourages them to open up. Offering self (staying with the client) provides a supportive, reassuring presence during moments of acute anxiety without forcing them to talk if they are not ready.

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1
Analyze the client's presentation.
The client is demonstrating acute anxiety and distress through rapid pacing, hand-wringing, and verbalizing feelings of being overwhelmed.
Recognizing the emotional state helps determine the appropriate level of intervention and support needed.
2
Evaluate each nursing response for therapeutic communication principles.
Identify which statements encourage the client to share feelings without judgment, and which statements block communication.
Therapeutic communication should focus on the client's immediate feelings and safety while avoiding traps like advice-giving or false reassurance.
3
Select the correct therapeutic responses.
The responses that offer a supportive presence and make non-judgmental observations are selected as correct.
These techniques validate the client's experience and promote a safe environment for expression.

Anahtar Kavram

Therapeutic Communication and Active Listening
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