A client has just lost her second baby to preterm complications. ...

[bobbie]

A client has just lost her second baby to preterm complications. Which statement demonstrates the best therapeutic response for the nurse to make?
 
  1. Don't be so sad. You can always try again.
  2. Didn't your doctor advise you about genetic counseling?
  3. I know how you feel. I have children of my own.
  4. I am so sad for you. I'll stay with you for a while if you need to talk.

Question 2

A nurse enters a client's room and asks about his level of pain. The client, grimacing, says It's fine. Which communication factor is the client struggling with?
 
  1. Territoriality
  2. Environment
  3. Congruence
  4. Attitude

[miss.ashley]

Answer to Question 1

Correct Answer: 4
Rationale 1: The client's feelings must be validated, not dismissed.
Rationale 2: Asking about genetic counseling implies that the client could have done something to possibly prevent this situation.
Rationale 3: Therapeutic communication promotes understanding and is client directed. Nurses need to respond to the feelings expressed by the client. The nurse has no way of knowing how this client feels, and saying so is just insensitive.
Rationale 4: Therapeutic communication promotes understanding and is client directed. Nurses need to respond to the feelings expressed by the client. Sometimes clients need time to deal with their feelings and the best thing the nurse can provide is presence and listening.

Answer to Question 2

Correct Answer: 3
Rationale 1: Territoriality is a concept of the space and things that an individual considers as belonging to the self.
Rationale 2: The environment involved in communication must be comfortable. Otherwise it may distract and impair communication.
Rationale 3: In congruent communication, the verbal and nonverbal aspects of the message match. Saying his pain level is fine, but then showing with facial grimacing that it is not, would be in conflict.
Rationale 4: Attitudes can convey beliefs, thoughts, and feelings about people and eventsnot what is described in this scenario.

[bobbie]

YES! Correct, THANKS for helping me on my review

[Alyson.hiatt@yahoo.com]

Thanks for the timely response, appreciate it