Author Question: The nurse therapist calls a client to reschedule their appointment for the following week. When the ... (Read 29 times)

skymedlock · **on:** Jul 19, 2018

The nurse therapist calls a client to reschedule their appointment for the following week. When the client arrives at the appointment, she is uncommunicative and avoids eye contact with the nurse.

When asked how things have been going, she answers sharply, Fine. How should the nurse respond to this client's behavior?
A) You seem angry, and I understand that you have been depressed, but I feel like you are avoiding speaking to me. Can you explain why you're acting this way?
B) You appear to be angry. Perhaps you are angry with me for rescheduling our appointment or something else has happened. Tell me more about what you are feeling.
C) You seem angry. Let's talk more about how you're feeling
D) I'm sorry I had to reschedule our appointment. It really couldn't be helped. Is that what's bothering you?

Question 2

After spending 15 minutes talking with a client, the client walks away feeling defensive and discouraged. This is evidence that the communication was:

A) In an improper environment
B) Blocked by external noise
C) Inaccurate
D) Nontherapeutic

janeli · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

Ans: B
Feedback:
Confrontation is the skill of pointing out, in a caring way, the discrepancies between what clients say and do. This can be done using a three-step formula called a perception check: Describe the inconsistent or confusing behavior, offer at least two possible interpretations of that behavior, and ask for feedback.

Answer to Question 2

Ans: D
Feedback:
Nontherapeutic communication develops when nurses respond in ways that cause clients to feel defensive, misunderstood, controlled, minimized, alienated, or discouraged from expressing thoughts and feelings.