A patient cries as the nurse explores the patient's relationship with a deceased parent. The patient says, "I shouldn't be crying like this. It happened a long time ago." Which responses by the nurse will facilitate communication? Select all that apply

a. "Why do you think you are so upset?"
b. "I can see that you feel sad about this situation."
c. "The loss of your parent is very painful for you."
d. "Crying is a way of expressing the hurt you're experiencing."
e. "Let's talk about something else because this subject is upsetting you.


ANS: B, C, D
Reflecting ("I can see that you feel sad" or "This is very painful for you") and giving information ("Crying is a way of expressing hurt") are therapeutic techniques. "Why" questions often imply criticism or seem intrusive or judgmental, and they are difficult to answer. Changing the subject is a barrier to communication.

Nursing

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The nurse manager is providing education to the nurses about the importance of utilizing methods to prevent legal action by clients and clients' families, such as documenting care in a thorough and timely manner

Which of the following statements by one of the nurses indicates that further teaching is needed regarding the importance of understanding legal issues and the current litigation processes related to health care? 1. "The physicians make a lot of money. They can afford to be sued." 2. "The juries are awarding so much money to clients in some malpractice cases." 3. "It seems like lawyers and their clients are really focusing a lot on health care and less focused on other fields." 4. "It seems like so many people in the United States who have an issue with another person think they can solve the problem by suing them."

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