Julie is a 42-year-old wife and mother who has recently experienced a mastectomy for breast cancer. The nurse enters the room to check vital signs and sees tears in the eyes of Julie and her husband
Which of the following statements by the nurse reflect accurate understanding of approaches to communication in a therapeutic relationship? 1. "I know this is a difficult time for you and your family. It is probably best if we wait and talk about your concerns when you a little stronger."
2. "I think it will be helpful if you both remain hopeful and stay focused on the positive."
3. "I know this is a stressful time for you; would you like to visit with the chaplain?"
4. "You seem to be troubled, which is understandable. In what ways can I be the most helpful to you at this time?"
4
Feedback
1 Waiting to talk about concerns may not be the family's choice. It may be difficult to have patient and husband focused on this topic in the future.
2 Encouraging a family to stay hopeful and positive does not acknowledge their current experience.
3 Referring the family to the pastor may not match their spiritual needs, and the chaplain may not have the information they need at this time.
4 Calling attention to their distress acknowledges their experience. Allowing the family to indicate their priority concerns at this time and offering assistance in the area the family chooses allows them to direct the conversation. This statement allows the family to gain trust in the nurse.
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