Which statement made by the nurse is evidence of therapeutic communication for a couple who is undergoing genetic counseling and very concerned about the possibility of having a child with a birth defect as a result of a strong family history on both side
of the family?
a. "It is important to ask other members of your family for any information they can provide that will help obtain more insight into the health history."
b. "Given what you have told me, there is little that anyone can do to improve outcomes."
c. "Although you may feel that you have no options, I can't really discuss these matters as only the physician can provide you with information."
d. "Do you have all your forms filled out correctly? This will make the review easier to accomplish. "
ANS: A
Having as much information as possible will help analyze potential health patterns. It also shows that the nurse is taking the clients' concerns seriously. Telling the clients that there is little anyone can do does not provide any comfort or hope and is therefore self-defeating. Although the clients may have limited options based on their genetic and medical history, it is important to provide support and not defer all communication to the physician. The nurse must be able to provide support and counseling to clients. It is important to have completed forms, but asking clients about them does not address their psychological concerns.
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