The nurse is using clarification with the client. Which best illustrates clarification?

A) CLIENT: "My life has been one frustration after another."
NURSE: "Your life has been full of frustrations?"
B) CLIENT: "I'm just a worthless old man, and no one cares about me!"
NURSE: "You say that as if you were very angry."
C) CLIENT: "It was really noisy here last night. It was like Grand Central Station."
NURSE: "You didn't get a very good night's sleep? What can we do to help you sleep better?"
D) CLIENT: "I was in the hospital 2 years ago and I swore I would never come here again."
NURSE: "You were dissatisfied with your stay?"


D
Feedback:
If the nurse tells the client what he or she heard, it helps the nurse to make sure it was what the client meant. Often the person adds more to the statement or clarifies the nurse's interpretation. CLIENT: "I was in the hospital 2 years ago and I swore I would never come here again." NURSE: "You were dissatisfied with your stay?" Reflection can be used in two ways. First, the nurse may echo the client's words, allowing the client to hear what he or she just said. In this way, the client can re-evaluate the words to determine if they expressed what he or she actually meant. CLIENT: "My life has been one frustration after another." NURSE: "Your life has been full of frustrations?" The second way to reflect is to point out the client's behavior or attitude that seems to be underlying his or her words. CLIENT: "I'm just a worthless old man, and no one cares about me!" NURSE: "You say that as if you were very angry." Use of paraphrasing helps the nurse to clarify the interpretation of the message by restating it in other words. CLIENT: "It was really noisy here last night. It was like Grand Central Station." NURSE: "You didn't get a very good night's sleep? What can we do to help you sleep better?"

Nursing

You might also like to view...

The nurse is caring for a patient who has had many admissions and readmissions. The nurse believes that the patient keeps coming to the hospital because the patient "wants his drugs," and is "non-compliant" at home with his diabetic therapy

To reduce the risk of slander against this patient, the nurse should: a. write observations and opinions in the medical record only. b. never share observations. c. make judgmental statements only when necessary. d. Avoid stating judgmental statements.

Nursing

Which of the following individuals would be the most appropriate candidate for immunotherapy?

A) A patient who had an anaphylactic reaction to an insect sting B) A child with allergies to eggs and dairy C) A patient who has had a positive tuberculin skin test D) A patient with severe allergies to grass and tree pollen

Nursing

Which of the following is an adverse effect that does not likely result from an overdose of the calcium channel blocker verapamil?

A. Increased myocardial contraction B. AV block C. Bradycardia D. Decreased myocardial contraction

Nursing

Which of the following should the nurse do first while working with a patient to assess and support the patient's spirituality?

a. Refer the patient to the agency chaplain. b. Assist the patient to use faith to get well. c. Provide a variety of religious literature. d. Determine the patient's perceptions and belief system.

Nursing