A client comes to the emergency department in obvious distress, holding his groin. He refuses to get undressed to be examined. Which statement or question by the nurse is most appropriate?
a. "I'll leave the room if that makes you feel better. When you are undressed, put on the call light."
b. "If you don't let us examine you to see what the problem is, you may lose blood supply to your genital area."
c. "No one can help you if we can't see what's going on. So please take off your clothes."
d. "Sometimes men get painful erections that won't go away or problems with their testicles. If that's the problem, we can help you."
D
Option d is the best example of therapeutic communication. From the presentation, this client may have a testicular torsion or priapism, both of which are emergencies. For the client to receive care, he must trust the health care providers to provide care in a sensitive manner, and using therapeutic communication is one way to win his trust. Such skillful, therapeutic interaction is essential.
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