A patient who lost a child in an auto accident tells the nurse, ...

[arivle123]

A patient who lost a child in an auto accident tells the nurse, God has abandoned me. What is an appropriate statement for the nurse to make?
 
  1. I will go and get a clergyman to help you.
  2. God has nothing to do with what happened to you.
  3. You need to strengthen your faith if you want to be able to survives this tragedy.
  4. Tell me more about what your faith means to you and, if you wish, I will get a clergyman to talk to you more about this tragedy.

Question 2

A nurse asks a patient in a shelter for hurricane victims if she can be of help. The patient says, I don't need your help. Using therapeutic communication, how should the nurse respond?
 
  1. Move away from the patient.
  2. Call the nursing supervisor.
  3. Tell the patient that anger won't help her situation.
  4. Tell the patient that anger is understandable in her situation.

[phuda]

Answer to Question 1

Answer: 4
Explanation: Therapeutic communication with patients experiencing spiritual confusion would include encouraging patients to explore their beliefs and find meaning in them, as well as offer the option for additional discussion with a clergyman. Leaving the patient to get a clergyman avoids the patient's need and does not demonstrate therapeutic communication. Imposing one's own beliefs or expressing judgments blocks further communication.

Answer to Question 2

Answer: 4
Explanation: The therapeutic response to a patient's statement of irritability and rage is validate the patient's experience. Leaving or calling the supervisor does not provide a therapeutic interaction. Judgment about the patient's anger is an obstacle to therapeutic engagement.

[arivle123]

TYSM

[Dominic]

Gracias!