A client whose expected hospital discharge was just canceled due to a low hemoglobin level turns away from the nurse and begins to cry silently. Arrange the following nursing actions in the most appropriate therapeutic sequence, from first to last.
- 1Sit quietly beside the client and offer a tissue.
- 2State, 'I can see you are very disappointed that you cannot go home today.'
- 3Ask, 'Would you like to share what you are feeling right now?'
- 4Ask, 'What concerns you the most about having to stay another day?'
Cevap
The correct sequence is to first provide nonverbal support by sitting quietly, then validate the client's disappointment verbally, follow up with an open-ended question to explore their feelings, and finally ask a focused question to address specific concerns.
The most therapeutic approach when a client is actively crying is to start with nonverbal support, such as offering silence and a tissue, which provides a safe space. Next, validating their feelings demonstrates empathy. Once the client feels heard, the nurse can use broad, open-ended questions to encourage further expression. Finally, after the initial emotional release, the nurse can help the client focus on specific concerns.
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Anahtar Kavram
Therapeutic Communication Sequence