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Zorluk: ZorTherapeutic Communication

A nurse is caring for a client admitted with end-stage heart failure who was just informed by the healthcare provider that they are no longer a candidate for a heart transplant. After the provider leaves the room, the client stares blankly at the wall and says in a flat tone, "Well, I guess that is it then. All this fighting for nothing." Which of the following is the most therapeutic response by the nurse?

  1. It sounds like you are feeling completely defeated after receiving this news.Cevap
  2. B
    This must be devastating, but you have shown such incredible strength throughout your entire illness.
  3. C
    I know this feels hopeless right now. Would you like me to contact the hospital chaplain to come sit with you?
  4. D
    Are you saying that you would like to stop all of your current medical treatments and transition to comfort care?

Cevap

The most therapeutic response is to state, "It sounds like you are feeling completely defeated after receiving this news."
The correct response utilizes the therapeutic technique of reflection. By identifying the underlying emotion (feeling defeated) and stating it back to the client without judgment, the nurse validates the client's experience. This approach demonstrates active listening and creates a safe space for the client to continue processing their grief and emotional pain without feeling pressured to act strong or make immediate medical decisions.

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1
Analyze the client's verbal and non-verbal communication.
The client is staring blankly and expressing a profound sense of hopelessness and wasted effort following devastating medical news.
Understanding the client's current emotional state is the first step in formulating a therapeutic response.
2
Identify the primary goal of the nurse's response in this immediate post-diagnosis period.
The goal is to provide emotional validation, show empathy, and keep the lines of communication open without attempting to 'fix' the unfixable.
Therapeutic communication prioritizes the client's feelings and emotional processing over logistical planning or reassurance.
3
Evaluate the options against therapeutic communication techniques.
Reflecting the client's feelings of defeat validates their experience. The other options involve false reassurance, deflecting the conversation, or jumping to clinical decision-making.
Selecting the response that uses reflection (acknowledging the feeling) is the most appropriate evidence-based technique.

Anahtar Kavram

Therapeutic Communication: Reflection and Validation
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Konular

Therapeutic Communication

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