A client admitted to the inpatient unit is being considered for electroconvulsive therapy (ECT). The client is calm, but the client's daughter is hypervigilant and anxious
The daughter says to the nurse, "My mother's brain will be shocked with electricity. How can the doctor even think about doing this to her?" Which of the following responses by the nurse would be therapeutic? 1. "I think you need to speak directly to the psychiatrist."
2. "Maybe you'll feel better if you see the ECT room and speak to the staff."
3. "Your mother has decided to have this treatment. You should support her."
4. "It sounds as though you are very concerned about the procedure. Let's discuss the procedure."
4
Rationale: The most effective responses to a client or family member who is visibly anxious and upset are those that use therapeutic communication techniques. Therapeutic communication in-cludes active collaboration that facilitates problem solving, change, learning, and growth. The correct option addresses the daughter's concerns while upholding the dignity of the client. When these concerns are verbalized, the nurse can then give information that may help allay fears. "I think you need to speak directly to the psychiatrist." "Maybe you'll feel better if you see the ECT room and speak to the staff." and "Your mother has decided to have this treatment. You should support her." are nontherapeutic responses.
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