The home care nurse visits a mother and her newborn 2 days after discharge from the hospital. The mother states, "My baby cries all the time. I must not be a very good mother." Which response by the nurse is nontherapeutic?
"You just need to get away for a few hours. Find a babysitter and go to a movie."
“I am not sure that I understand what you mean. Tell me more about how you feel."
The nurse moves closer to the mother and places a hand on her shoulder.
"It sounds as if you are concerned about your ability to care for your baby."
The Correct Answer is A
A. This response dismisses the mother's feelings and offers a solution without addressing her emotional concerns. It does not support or validate her feelings, which is considered nontherapeutic.
B. This is a therapeutic response as it seeks to understand and validate the mother’s feelings.
C. This is a therapeutic response as it involves empathetic nonverbal communication.
D. This is a therapeutic response as it acknowledges and validates the mother’s feelings.
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Correct Answer is C
Explanation
A. Offering approval or disapproval
Offering approval or disapproval can create a judgmental atmosphere and hinder open communication. Therapeutic communication focuses on understanding and supporting the patient without expressing judgment.
B. Asking for explanations
Asking for explanations can sometimes come across as interrogative or demanding. While it is important to understand patient concerns, therapeutic communication should be focused on exploring feelings and experiences rather than demanding explanations.
C. Asking open-ended questions
Open-ended questions encourage patients to share more about their thoughts and feelings, facilitating deeper and more meaningful conversations. This technique helps patients express themselves more freely and promotes effective therapeutic communication.
D. Offering sympathy
Offering sympathy, rather than empathy, can distance the nurse from the patient and may not address the patient’s needs as effectively. Therapeutic communication should focus on empathy, where the nurse understands and acknowledges the patient's feelings without feeling sorry for them.
Correct Answer is A
Explanation
A. The nurse's response offers false reassurance, which can minimize the client's feelings and concerns without addressing the underlying issue.
B. The response does not express sympathy; it instead aims to reassure without empathy.
C. The response is not passive; it actively tries to reassure the client, albeit ineffectively.
D. The response does not show disapproval; it attempts to comfort.
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