The patient is having a difficult time dealing with an AIDS diagnosis. The patient states, "It's not fair. I'm totally isolated from God and my family because of this. Even my father hates me for this. He won't even speak to me."
What should the nurse do?
a. Tell the patient to move on and focus on getting better.
b. Use therapeutic communication to establish trust and caring.
c. Assure the patient that the father will accept this situation soon.
d. Point out that the patient has no control and that he or she must face the consequences.
ANS: B
Application of therapeutic communication principles and caring helps you establish therapeutic trust with patients. The nurse should not offer false hope (father will accept the situation soon). The nurse should help the patient maintain feelings of control, not no control. The nurse should encourage renewing relationships if possible and establishing connections with self, significant others, and God.
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