Examkin

Soru

Zorluk: ZorTherapeutic Communication

A client is resting in the postpartum unit following a vaginal delivery. The newborn was transferred to the neonatal intensive care unit (NICU) two hours ago due to sudden respiratory distress. The client is crying quietly and states, "This is all my fault. If I had taken better care of myself during the pregnancy, my baby would be here with me." Which of the following is the most therapeutic response by the nurse?

  1. You are feeling responsible for the fact that your infant is currently requiring intensive care.Cevap
  2. B
    Please do not blame yourself; the neonatologist confirmed that this condition is not related to maternal habits.
  3. C
    It is natural to feel guilty when your newborn is sick, but it is important to stay positive right now.
  4. D
    What specific actions did you take during your pregnancy that make you believe you caused this?

Cevap

The most therapeutic response validates the client's feelings by reflecting their statement back to them: 'You are feeling responsible for the fact that your infant is currently requiring intensive care.'
The correct answer utilizes reflection to validate the client's feelings. By restating the client's sense of responsibility without judgment, the nurse demonstrates empathy, acknowledges the psychological pain, and creates a safe space for the client to process their grief.

Adım Adım Çözüm

1
Analyze the client's statement and underlying emotional state.
The client is expressing deep guilt, grief, and self-blame regarding the newborn's unexpected admission to the NICU.
Identifying the core emotion is the essential first step before formulating a therapeutic response.
2
Evaluate the communication options against therapeutic communication principles.
The nurse must choose a response that encourages the expression of feelings, avoiding communication blocks like false reassurance, probing, or giving advice.
Therapeutic communication prioritizes the client's psychological and emotional experience over premature problem-solving or fact-giving.
3
Select the most appropriate therapeutic technique for the situation.
The correct choice utilizes 'reflection' and 'restating' to validate the client's emotional distress, keeping the focus on their feelings.
Reflection demonstrates empathy and active listening, which builds trust and facilitates further therapeutic dialogue.

Anahtar Kavram

Therapeutic Communication
Tahmini Süre:1m 30s
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Therapeutic Communication

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