The female client sobs uncontrollably when talking about the recent death of a pet. Which response should the nurse implement for effective communication?
1. Sit with the client quietly and allow her to cry.
2. Provide tissues and promise to come back later.
3. Ask why the client is upset over the pet's death.
4. State it is impossible to help while the client cries.
1
1. Sitting with the client demonstrates acceptance, caring, and value for the client's experience as the client expresses her grief. This is more likely to promote effective communication later because the nurse establishes a foundation of trust by respecting, caring, and staying with her.
2. Providing tissues is indicated; however, leaving the room indicates the nurse does not value what the client is experiencing, the nurse does not care, or the nurse is uncomfortable with crying and portrays the nurse as unlikely to facilitate effective communication.
3. Questions beginning with "why" confront the client to justify feelings or actions and thereby can inhibit effective communication as the client assumes a defensive position.
4. Stating the nurse cannot help the client while she cries indicates the nurse does not care or accept the client or is uncomfortable with crying.
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