How can a nurse avoid the possibility of finding the clients behavior unacceptable or distasteful quizlet?

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Which of the following statements correctly depict the problem of feeling sympathy toward the client? Select all that apply.

A] This can cause the nurse to feel sad and be unable to help the client.

B] When the nurse's behavior is rooted in sympathy, the client finds it easier to manipulate the nurse's feelings.

C] The client is discouraged from exploring his or her problems, thoughts, and feelings.

D] The client is discouraged from growth.

E] The client feels dependent on the nurse.

The nurse is caring for a client with cellulitis. The client responds, "I feel kind of 'blah'," after the nurse asks, "How do you feel?" After the client's reply, the nurse states, "Can you tell me what 'blah' feels like?" The client responds, "I don't have any energy, and I don't feel like doing anything." Using therapeutic communication, how should the nurse respond?

"Oh, it is just the infection; in a day or so you'll feel better."
"Let's talk about infections, and how they heal."
"Why don't you just rest in bed?"
"Why don't you call a friend in to watch TV with you?"

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"I notice it has been a while since you have had a shower."
Stating, "I notice it has been a while since you have had a shower," is the correct option. Making an observation helps the nurse verbalize what is perceived. This is therapeutic because sometimes a client may not be able to verbalize or make themselves understood. Stating, "I think you need to take a shower," would be a nontherapeutic statement. This is called advising and entails telling the client what to do, communicating the the nurse knows what is best for the client. Stating, "Don't worry, take as long as you need before you get going," denotes reassuring by the nurse. By saying this, the nurse is communicating that this is not a problem despite the fact that the client is approaching the nurse for support in problem solving. By asking, "Why haven't you taken a shower?" the nurse is requesting an explanation. This is intimidating and the client is likely to become defensive or feel judged and vulnerable.

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What characteristic does a nurse display when he or she does not become upset or respond negatively to a client's outbursts anger or acting out?

Acceptance: The nurse who does not become upset or respond negatively to the client's outbursts, anger, or acting out conveys acceptance. Avoiding judgments of the person, no matter the behavior, is acceptance.

Which is the most important skill the nurse must bring to the therapeutic nurse client relationship?

The nurse understands that empathy is essential to the therapeutic relationship.

What quality of the nurse is being exhibited if she is able to respect the behavior of the client or background?

Empathy is the ability of the nurse to perceive the meaning and feelings of the client and to communicate that understanding to the client. Positive regard is an unconditional, nonjudgmental attitude.

Which type of therapeutic communication is most important for the nurse to use when caring for a patient with major depression?

Active listening: Active listening is vital for effective communication. Simply maintaining eye contact or keeping the conversation moving with an “I hear you” shows the patients that you do care and are listening when they speak.

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