Author Question: The nurse is working with a patient diagnosed with posttraumatic stress disorder related to ... (Read 43 times)

V@ndy87 · **on:** Jul 22, 2018

The nurse is working with a patient diagnosed with posttraumatic stress disorder related to childhood sexual abuse. The patient is crying and states, I should be over this by now; this happened years ago.

Which response(s) by the nurse will facilitate communication? (Select all that apply.)
a. Why do you think you are so upset?
b. I can see that this situation really bothers you.
c. The abuse you endured is very painful for you.
d. Crying is a way of expressing the hurt you're experiencing.
e. Let's talk about something else, since this subject is upsetting you.

Question 2

The nurse is seeking clarification of a statement that was made by a patient. What is the best way for the nurse to seek clarification?

a. What are the common elements here?
b. Tell me again about your experiences.
c. Am I correct in understanding that
d. Tell me everything from the beginning.

canderson530 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

ANS: B, C, D
Reflecting and giving information are therapeutic techniques. Why questions often imply criticism or seem intrusive or judgmental. They are difficult to answer. Changing the subject is a barrier to communication.

Answer to Question 2

ANS: C
Clarification ensures that both the nurse and patient share mutual understanding of the communication. The distracters encourage comparison rather than clarification and present implied questions that suggest the nurse was not listening.