A client with ESRD expresses feelings of anger and frustration about the treatment regimen and lifestyle changes. The nurse recognizes the importance of therapeutic communication to support the client effectively. Which nursing statement is most appropriate?
"You need to accept your condition and follow the treatment plan without resistance."
"It's essential to stay positive and avoid focusing on negative emotions."
"Tell me more about your feelings. I'm here to listen and understand what you're going through."
"Try to think about the positive aspects of your life and avoid dwelling on the negative."
The Correct Answer is C
A. Telling the client they must accept their condition without resistance may invalidate their emotions and not allow them to express their feelings freely.
B. While positivity is essential, avoiding focusing on negative emotions may hinder therapeutic communication and the client's ability to express their true feelings.
C. This is the correct answer. Therapeutic communication involves active listening and providing a safe space for the client to express their feelings openly. The nurse's statement acknowledges the client's emotions and offers support.
D. Encouraging the client to think about positive aspects and avoid dwelling on the negative may not allow the client to process and express their feelings genuinely.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Encouraging the client to share their feelings with friends and family is essential, but connecting with individuals experiencing similar challenges in a support group can provide the client with additional understanding and emotional support.
B. This is the correct answer. Support groups provide an opportunity for clients with ESRD to share their experiences, learn coping strategies from others, and realize they are not alone in their struggles, which can alleviate feelings of isolation and provide emotional support.
C. Advising the client to limit social interactions can exacerbate feelings of isolation and loneliness, which is not helpful in providing appropriate support.
D. While it is essential to reassure the client that feeling overwhelmed is normal, attending a support group can provide them with practical strategies for coping with these emotions.
Correct Answer is B
Explanation
A. This response is not helpful. Telling the client that their feelings are unwarranted may invalidate their emotions and not address their concerns.
B. This response is appropriate. Validating the client's feelings while reassuring them of their family's support can help the client feel understood and less burdened by their emotions.
C. This response is not appropriate. Encouraging the client to hide their feelings from their family can lead to emotional suppression and may hinder open communication.
D. This response is not appropriate. Encouraging the client to rely more on friends than family for support may not be practical or address the client's feelings of guilt and burden.
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