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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.