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 D
Explanation
A. Call a nursing colleague who speaks the same language as the client to interpret the information.
While this option may seem viable, it is not the best practice. Using a colleague for interpretation could breach confidentiality and might not ensure a professional level of accuracy. Nurses are not always trained interpreters and might not fully understand the nuances of medical communication.
B. Ask the client's partner to interpret the information.
It is not appropriate to use the client’s partner as an interpreter due to potential conflicts of interest and breaches of confidentiality. Family members may not provide accurate translations and could unintentionally alter the information.
C. Use an electronic translating service from the internet to interpret the information.
While online translating tools can be helpful for casual conversations, they are not reliable for medical information due to potential inaccuracies and lack of medical terminology. Professional interpreters are trained to handle medical terminology and ensure that communication is clear and accurate.
D. Telephone the interpreter that is designated for the facility to interpret the information.
This is the best practice for ensuring clear and accurate communication. Designated interpreters are trained professionals who can accurately convey medical information and maintain confidentiality. They ensure that communication is both effective and compliant with legal and ethical standards.
Correct Answer is A
Explanation
A. The "A" in the CARE method stands for Assume, which involves clearly stating what you want the other person to do.
B. This statement expresses personal feelings but does not make a clear request or expectation.
C. This statement explains benefits rather than directly requesting a specific action.
D. This describes the problem but does not offer a solution or request specific behavior.
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