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Zorluk: KolayTherapeutic Communication

A client admitted to the medical-surgical unit is pacing the hallway and speaking loudly. The client states to the nurse, "Nobody here knows what they are doing! I waited twenty minutes for someone to answer my call light!" Which of the following is the most therapeutic response by the nurse?

  1. You appear very angry that you had to wait so long for someone to answer your call light.Cevap
  2. B
    I understand your frustration, but we were dealing with a medical emergency down the hall.
  3. C
    Why did you not just ask the nursing assistant who was walking by your room?
  4. D
    Do not worry; I will make sure the staff answers your call light immediately from now on.

Cevap

The most therapeutic response is to reflect the client's feelings and acknowledge their anger about the wait time without being defensive.
The correct response utilizes the therapeutic communication technique of reflection. By stating an objective observation about the client's anger and directly connecting it to the waiting time, the nurse validates the client's feelings. This approach encourages the client to continue expressing their emotions, demonstrates empathy, and helps de-escalate the situation without the nurse resorting to defensiveness.

Adım Adım Çözüm

1
Analyze the client's statement and behavior.
The client is pacing, speaking loudly, and expressing overt anger over a delayed response to their call light.
Identifying the client's current emotional state is the critical first step in selecting a therapeutic communication technique.
2
Evaluate the given response options against therapeutic communication principles.
The correct response must focus entirely on the client's feelings without offering excuses, asking probing 'why' questions, or giving false promises.
Therapeutic communication requires validating the client's experience and maintaining a non-judgmental environment.
3
Select the response that utilizes reflection.
Stating 'You appear very angry that you had to wait so long...' accurately reflects the client's emotion and keeps the focus on their immediate needs.
Reflection encourages the client to further express their feelings and helps rapidly de-escalate their agitation.

Anahtar Kavram

Therapeutic Communication: Reflection and Validation
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Konular

Therapeutic Communication

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