The client shouts at the nurse, "No one answered my call bell all night!" Which response should the nurse use with this client to restore therapeutic communication?
1. "Shouting is going to disturb other clients.".
2. "I see how that would make you very angry.".
3. "Are you sure the nurses were avoiding you?"
4. "The unit has many very sick clients right now.".
2
2. Regardless of whether the nurses answered the client's call bell during the night, the client felt ignored. By empathizing with the client's distress, the nurse displays respect and understanding of the client's experience.
1. Reprimanding the client is humiliating and conveys the nurse's lack of regard for the client's feelings. Quieting the client is achievable by displaying empathy, caring, respect, and willingness to hear the client's complaints.
3. Questioning the client's perception is demeaning and forces the client to justify feelings, similar to asking a "why" question. Additional information about what occurred during the night is obtainable by gently questioning the client about the events.
4. Stating the unit has very sick clients implies that the client is not as important as the others are, potentially leads to client feelings of guilt and shame, and is likely to impair therapeutic communication for making an issue of a lack of attention. As well, the nurse increases the client's risk of injury if the client holds back a problem and suffers an injury as a result.
You might also like to view...
Admission data for a newly admitted client who is severely depressed reveal he has lost 20 pounds
over the past month, has chronic low self-esteem, and has both the intent and a plan for committing suicide. He has been taking a selective serotonin reuptake inhibitor for 1 week without remission of symptoms. The priority nursing diagnosis is a. imbalanced nutrition: less than body requirements. b. chronic low self-esteem. c. risk for suicide. d. ineffective protection.
Which specialized method(s) is (are) used in knowledge discovery and data mining?
a. Stratified sampling b. Conceptual analytic methods c. Selection of the optimal subset of variables/features for use in modeling d. Machine learning
A woman states that she still feels exhausted on her second postpartal day. Your best advice for her would be to do which of the following?
A) Avoid getting out of bed for another 2 days. B) Walk with you the length of her room. C) Walk the length of the hallway to regain her strength. D) Avoid elevating her feet when she rests in a chair.
A young patient tells the nurse that it is taboo to date before the age of 18 years. How should the nurse interpret this patient's statement?
A) Everyone dates before the age of 18 years. B) Dating before the age of 18 years is not permitted. C) Dating before the age of 18 years can be done with permission. D) Dating before the age of 18 years is permitted in large groups only.