A nurse on a medical-surgical unit is caring for a client who is scheduled for a below-the-knee amputation the following morning due to severe vascular complications. The client is pacing the room, crying, and states, 'I cannot live with half a leg. I will never be able to do anything for myself again. My life is essentially over.' Which of the following responses by the nurse is the most therapeutic?
- It sounds like you are feeling devastated and deeply concerned about losing your independence.Cevap
- BTry not to worry; the physical therapy team is excellent and will have you walking with a prosthesis in no time.
- CWhy do you feel like your life is over when this procedure will ultimately prevent a life-threatening infection?
- DIf I were in your position, I would try to focus on the adaptations you can make at home to maintain your mobility.
Cevap
The most therapeutic response is to reflect the client's feelings by stating that it sounds like they are feeling devastated and deeply concerned about losing their independence.
The correct response effectively uses the therapeutic communication techniques of empathy and reflection. By summarizing and stating back the client's underlying fears—feeling devastated and worried about losing independence—the nurse validates the client's emotions. This approach demonstrates active listening, encourages the client to elaborate on their feelings, and builds a trusting therapeutic relationship during a crisis.
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Anahtar Kavram
Therapeutic Communication Techniques: Empathy and Reflection