A 35-year-old client has been recently diagnosed with a chronic progressive condition. During a follow-up visit, the client tearfully states, 'I feel like my life is over; I don’t know how I’ll manage.' What is the most appropriate response by the nurse?
‘You should focus on staying positive and not let this define you.’
‘Try not to worry too much; there are effective treatments for progressive conditions like yours.’
‘It sounds like you’re feeling overwhelmed. Can you share more about what’s worrying you most?’
‘You’ll be okay as long as you follow what the doctors recommend.’
The correct answer recognizes the importance of using therapeutic communication to validate the client’s feelings and promote exploration of coping strategies. By acknowledging the client’s emotions and encouraging them to express more, the nurse helps the client begin to process their diagnosis. The incorrect answers fail to provide the emotional support necessary or dismiss the client's concerns. For example, providing false reassurance ('You will be okay') underestimates the challenges of adjusting to a progressive illness. Offering premature advice like focusing on treatments or implying the need for immediate positivity oversimplifies the emotional complexity involved in adjusting to a new chronic condition.
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Psychosocial Integrity
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