A client recently diagnosed with a chronic neurological condition says tearfully, 'I don’t know how I’m going to manage my life with this illness.' Which response by the nurse demonstrates the BEST therapeutic communication?
It seems like you’re feeling overwhelmed by this new diagnosis.
Consider participating in a support group to aid in managing your condition.
The healthcare team is available to assist you in managing your condition.
Maintain a positive outlook as part of your coping strategy.
The correct response, 'It seems like you’re feeling overwhelmed by this new diagnosis,' reflects the client’s emotions and encourages further exploration of their feelings. Reflective statements are a fundamental component of therapeutic communication, as they validate the client’s experience and promote self-expression. Other options are incorrect because they (1) focus on suggesting behavior changes before addressing emotional needs ('Maintain a positive outlook as part of your coping strategy'); (2) suggest premature problem-solving techniques that may feel dismissive at this point ('Consider participating in a support group to aid in managing your condition'); or (3) provide reassurance without addressing the client’s immediate emotional distress ('The healthcare team is available to assist you in managing your condition'). Each of these options fails to prioritize the client’s expressed emotions, which should be the nurse’s initial focus.
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Psychosocial Integrity
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