The female client scheduled for an invasive procedure the next day complains of headache and nausea and knocks over a glass of water onto the floor

Question

Which intervention(s) should the nurse implement for therapeutic communication? (Select all that apply.) 1. Explain the procedure briefly
2. Teach with client's partner present
3. Give the client written information
4. Tell client she seems overwhelmed
5. Ask if this is her first hospitalization
6. State the procedure can be cancelled

Answer 1

1, 2, 3, 4
1. To manage the situation, the nurse can provide a brief explanation of the procedure and build on the information later. The client seems very anxious about the procedure, as demonstrated by knocking over the glass, but the client must confirm the nurse's conclusion because a migraine headache can be developing and the water can be a simple accident.
2. Teaching with another person present is usually a good idea, lending emotional support to the client and, together with the client, listening to instructions and explanations.
3. Providing written information is suitable as long as it is not the only information shared with the client.
4. To confirm any suspicions, the nurse validates conclusions before acting on assumptions.
5. Asking if this is her first hospitalization can be demeaning to the client.
6. The nurse breaches the duty to the client by offering a method of escaping the procedure; however, the nurse must ensure client understanding of patients' rights and responsibilities. Providing relaxation techniques, explanations, and opportunities for expression can potentially help the client to deal with any fear or anxiety.