A mother rescues two of her four children from a house fire. In an emergency department, she cries, "I should have gone back in to get them. I should have died, not them." Which of the following responses by the nurse is an example of reflection?
A. "The smoke was too thick. You couldn't have gone back in."
B. "You're feeling guilty because you weren't able to save your children."
C. "Focus on the fact that you could have lost all four of your children."
D. "It's best if you try not to think about what happened. Try to move on."
ANS: B
The best response by the nurse is, "You're experiencing feelings of guilt because you weren't able to save your children." This response utilizes the therapeutic communication technique of reflection, which identifies a client's emotional response and reflects these feelings back to the client so that they may be recognized and accepted.
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