The nurse is working with a patient diagnosed with posttraumatic stress disorder related to childhood sexual abuse. The patient is crying and states, "I should be over this by now; this happened years ago."
Which response(s) by the nurse will facilitate communication? (Select all that apply.)
a. "Why do you think you are so upset?"
b. "I can see that this situation really bothers you."
c. "The abuse you endured is very painful for you."
d. "Crying is a way of expressing the hurt you're experiencing."
e. "Let's talk about something else, since this subject is upsetting you."
ANS: B, C, D
Reflecting and giving information are therapeutic techniques. "Why" questions often imply criticism or seem intrusive or judgmental. They are difficult to answer. Changing the subject is a barrier to communication.
You might also like to view...
What marked advantage does primary intention have over other phases of wound healing?
a. Healing is rapid b. Healing rarely becomes infected c. Minimal scarring results d. Healing is painless
Who has the legal authority for nursing practice/action according to each state?
a. The Joint Commission b. State Boards of Nursing c. Nurse Practice Act d. National Council Licensure Examination (NCLEX)
The nurse is caring for a patient whose atria do not contract correctly. The nurse would expect this dysfunction to be apparent in which part of the ECG complex?
1. The P wave 2. The U wave 3. The QRS 4. The T wave
A nurse sees a patient wandering in the hall with an IV pole and stops to find out if he needs anything. This nurse is
A. Giving a positive message to the patient that he is cared about and for B. Interfering with another nurse's patient assignment C. Reflecting behavior typical in an organization that has a positive culture D. Both A and C