A nurse is caring for a client diagnosed with borderline personality disorder. The nurse has instructed the client about using the communication triad. The nurse determines that the client has understood this technique when he states which of the followin
A) "I should start by stating my feelings as an 'I' statement."
B) "Maybe I should start by describing the situation that has me upset."
C) "I should first tell the other person what I'd like to be different about the situation."
D) "I should begin by telling the other person what has triggered my emotion."
Ans: A
The client should begin with an "I" statement and the identification of feelings. Many want to begin with the condition. If the client begins with the condition, the statement becomes accusatory and is likely to evoke defensiveness. The "I" statement is followed by a nonjudgmental statement of the emotional trigger, then followed by what the person would like differently or what would restore comfort to the situation.
You might also like to view...
An ICU manager is discussing a nurse?s frequent absenteeism. The nurse informs the manager of unreliable child care. The manager informs the nurse the organization is opening an on-site child care facility within the next month
This is an example of: 1. Enriched job environment. 2. Organizational practices. 3. Absence culture. 4. Generational differences.
An older adult is admitted to the hospital with numerous bodily bruises, and the nurse suspects elder abuse. What is the best nursing action?
a. Cover the bruises with bandages. b. Take photographs of the bruises. c. Ask the patient if anyone has hit her. d. Report the bruises to the charge nurse.
In caring for a patient with gastric bleeding who has a nasogastric tube in place, the nurse should include in the plan of care to ensure that the NG tube is:
a. Clamped for 10 minutes every hour b. Kept patent with irrigation c. Frequently repositioned to the opposite nostril d. Changed every 72 hours
An elderly client, who has fallen several times at home, is admitted for possible transient ischemic attack (TIA). Which assessment finding is most significant in determining care for this client?
A) Becomes confused during the night B) Drooling from side of mouth C) Bruit heard over carotids D) Irregular heart rhythm