The female patient scheduled for an invasive procedure the next day complains of headache and nausea and knocks over a glass of water. Which intervention(s) should the nurse implement for therapeutic communication? (Select all that apply.)
a. Explain the procedure briefly.
b. Teach with the patient's partner present.
c. Give the patient written information.
d. Tell the patient that she seems over-whelmed.
e. Ask if this is her first hospitalization.
f. State that the procedure can be cancelled.
A, B, C, D
To manage the situation, the nurse can provide a brief explanation of the procedure and build on the information later. The patient seems very anxious about the procedure, as demonstrated by knocking over the glass, but the nurse must confirm that suspicion because a migraine headache can be developing and the water can be a simple accident. Teaching with another person present is usually a good idea, lending emotional support to the patient and, together with the patient, listening to instructions and explanations. Providing written information is suitable as long as it is not the only information shared with the patient. To confirm any suspicions, the nurse validates conclusions before acting on assumptions. The other responses show a lack of respect for the patient and do not address her needs.
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