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Zorluk: OrtaTherapeutic Communication

A nurse is interacting with an older adult client who recently experienced a severe ischemic stroke and is scheduled to transfer to a long-term care facility. The client stares out the window and tearfully states, "I never imagined my life would end up this way. I am losing my home, my garden, and everything I worked for. I will just be sitting in some room waiting for the end." Which of the following responses by the nurse is the most therapeutic?

  1. A
    The staff at the new facility are highly trained and will make sure you remain very comfortable.
  2. B
    You should try to look at the bright side because you survived a very serious medical event.
  3. This transition is bringing up profound feelings of grief and loss regarding your independence.Cevap
  4. D
    Have your family members discussed what they plan to do with your house while you are away?

Cevap

The response that acknowledges the client's profound feelings of grief and loss regarding their independence.
The correct answer utilizes the therapeutic technique of reflection. By directly naming the grief and loss the client is describing, the nurse validates their emotional experience. This approach demonstrates empathy, creates a safe environment for vulnerability, and encourages the client to continue processing the difficult transition to long-term care without feeling judged or dismissed.

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1
Analyze the client's statement to identify the core emotional message.
The client is expressing deep sadness, hopelessness, and anticipatory grief over the loss of their home, routine, and independence.
Understanding the underlying emotion is essential before selecting an appropriate therapeutic response.
2
Evaluate the options against principles of therapeutic communication.
Options that offer false reassurance, give advice, or change the subject act as communication barriers. The option that reflects the client's feelings directly addresses their psychological needs.
Therapeutic communication aims to validate feelings, encourage emotional exploration, and avoid judgment or minimization.
3
Select the response that best validates the client's emotional state.
The statement reflecting the client's grief and loss is the most therapeutic choice.
Reflection of feeling demonstrates active listening and empathy, which builds trust and helps the client process their grief.

Anahtar Kavram

Therapeutic Communication: Reflection and Validation
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Konular

Therapeutic Communication

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