A client on the postpartum unit delivered a newborn yesterday. The infant was unexpectedly transferred to the neonatal intensive care unit (NICU) due to respiratory distress. The client is observed pacing the room and meticulously organizing the bedside table. The client asks the nurse, "What is the exact calibration frequency for the neonatal continuous positive airway pressure machine?" The client displays a flat affect and shows no visible emotional distress regarding the separation. Which of the following nursing interventions are most appropriate to support the client's coping? Select all that apply.
- Answer the client's inquiries about the medical equipment using clear and factual terminology.Cevap
- Offer to accompany the client to the intensive care unit to visit the newborn.Cevap
- Provide an open-ended opportunity for the client to discuss their feelings when ready.Cevap
- DConfront the client gently about using technical details to avoid experiencing emotional pain.
- ETell the client not to worry because the neonatal nurses are highly skilled in treating respiratory issues.
- FAsk the client why they are more concerned with the monitor calibrations than their own postpartum recovery.
Cevap
The appropriate interventions are to answer inquiries with factual terminology, offer to accompany the client to the NICU, and provide an open-ended opportunity to discuss feelings.
The client is utilizing intellectualization to cope with the trauma of an unexpected NICU admission. In the acute phase of a crisis, defense mechanisms serve a protective function. The nurse should support the client by providing the factual information they seek, offering a non-judgmental presence, and gently facilitating reality orientation (such as visiting the NICU) at a pace the client can emotionally tolerate.
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Anahtar Kavram
Therapeutic communication and support for a client using intellectualization as a coping mechanism.