A nurse is caring for a young adult client who has ulcerative colitis and is scheduled for surgery to create an ileostomy. After speaking with the provider, the client says, “how will I ever be able to have a normal life after this?”
Which of the following responses should the nurse make?
This will cure your disease, so you don’t have to spend so much time in hospital.
Tell me how you think having an ileostomy will affect your life.
Everybody worries about how they will manage their ileostomy at first.
Are you worried that it would affect your relationship with your partner?
The Correct Answer is B
This response is an open-ended question that encourages the client to express their concerns and feelings. It also allows the nurse to assess the client’s understanding of the procedure and provide appropriate education and support. The other
The other options are either closed-ended statements or questions that do not address the client’s concerns directly.

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Correct Answer is C
Explanation
The nurse’s ability to listen and observe the client’s verbal and non-verbal messages. Effective communication in the mental health setting requires the nurse to actively listen to the client and to pay close attention to their verbal and non-verbal cues. By doing so, the nurse can better understand the client’s needs and concerns and can provide appropriate support and guidance.
While the nurse’s understanding of mental health disorders (b) and their relationship with the client (d) can also play a role in effective communication, the ability to listen and observe is a fundamental skill that is essential for effective therapeutic communication. The client’s ability to communicate (a) is also important, but it is ultimately the nurse’s responsibility to use effective communication techniques to facilitate the therapeutic process.
Correct Answer is A
Explanation
This statement by the student nurse demonstrates the technique of stating the implied and seeing the client's behavior. The student nurse has observed the client pacing the halls and having a tense look on their face, which implies that the client may be feeling anxious. By stating this observation to the client, the student nurse is validating the client's experience and opening a dialogue about their feelings. This technique can help the client feel heard and understood and can facilitate a therapeutic relationship between the client and the nurse.
Option B is an open-ended question that can encourage the client to share more about their feelings, but it does not demonstrate the technique of stating the implied and making an observation about the client's behavior.
Option C is a statement that may be perceived as judgmental or confrontational and does not demonstrate the technique of stating the implied and making an observation about the client's behavior.
Option D is a statement that is focused on the nurse's agenda rather than the client's needs and does not demonstrate the technique of stating the implied and seeing the client's behavior.
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