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Zorluk: KolayHigh Risk Behaviors

A nurse in a college health clinic is assessing an 18-year-old client who admits to engaging in frequent binge drinking at weekend parties. Which initial response by the nurse is most appropriate?

  1. A
    Why do you feel the need to consume so much alcohol when you go out?
  2. B
    I am required to report this illegal underage drinking to the authorities.
  3. Can you describe what a typical weekend party looks like for you?Cevap
  4. D
    Many college students drink heavily; it is just a normal phase of growing up.

Cevap

The most appropriate response is to ask the client to describe what a typical weekend party looks like.
The correct response utilizes an open-ended statement that encourages the client to elaborate on their experiences. This approach is non-judgmental and helps the nurse gather critical information about the extent of the high-risk behavior without alienating the client.

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1
Identify the primary goal of the nurse's initial response.
The goal is to establish rapport and gather more assessment data regarding the high-risk behavior.
Before providing education or interventions, the nurse must fully understand the context and severity of the binge drinking.
2
Evaluate the options using therapeutic communication principles.
Open-ended, non-judgmental questions facilitate communication, whereas 'why' questions, minimizing concerns, or threatening to report the behavior block communication.
Therapeutic communication is essential for clients engaging in high-risk behaviors to prevent defensiveness and encourage honesty.

Anahtar Kavram

Therapeutic communication in assessing high-risk behaviors
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High Risk Behaviors

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