Communication and Therapeutic Relationships in Chronic Illness Care
Communication and Therapeutic Relationships in Chronic Illness Care ( 4 Questions)
A client who has diabetes mellitus is admitted to the hospital for a foot ulcer. The client tells the nurse that they have been feeling depressed and hopeless about their condition. Which of the following responses by the nurse demonstrates therapeutic communication?
This is a nontherapeutic response that minimizes the client's feelings and implies that the client is wrong or ungrateful for feeling depressed and hopeless.
This is a nontherapeutic response that uses a closed-ended question that can make the client feel defensive or guilty for feeling depressed and hopeless. The nurse also makes an assumption about the client's life without exploring their perspective.
This is a nontherapeutic response that uses false reassurance and self-disclosure that can shift the focus away from the client and their feelings.
The nurse demonstrates therapeutic communication by using an open-ended statement that invites the client to express their feelings and concerns. The nurse also shows empathy, respect, and genuineness by offering to listen attentively.
The nurse demonstrates therapeutic communication by using an open-ended statement that invites the client to express their feelings and concerns. The nurse also shows empathy, respect, and genuineness by offering to listen attentively.
Incorrect options:
A) "You should be more optimistic. Things could be worse." - This is a nontherapeutic response that minimizes the client's feelings and implies that the client is wrong or ungrateful for feeling depressed and hopeless.
B) "Why do you feel depressed and hopeless? You have a lot to live for." - This is a nontherapeutic response that uses a closed-ended question that can make the client feel defensive or guilty for feeling depressed and hopeless. The nurse also makes an assumption about the client's life without exploring their perspective.
C) "I understand how you feel. I have a family member who has diabetes too." - This is a nontherapeutic response that uses false reassurance and self-disclosure that can shift the focus away from the client and their feelings.