Which nurse responses could block effective communication with a client?
(Select all that apply)
Why did you do that?
Tell me more about your relationship with your daughter?
This is what I think you should say.
Don’t stress over it, everything will turn out fine.
Correct Answer : A,C,D
Why did you do that? - This question can come across as judgmental and accusatory, and may cause the client to become defensive or feel criticized.
Tell me more about your relationship with your daughter? - This question encourages the client to open up and share more about themselves, which can promote effective communication.
This is what I think you should say. - This response takes away the client's autonomy and can make them feel like their feelings and opinions are not important.
Don’t stress over it, everything will turn out fine. - This response minimizes the client's concerns and can make them feel like their feelings are not valid or important. It can also come across as dismissive and unempathetic.
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Correct Answer is D
Explanation
In this situation, the nurse is recognizing that the woman is distressed and is showing empathy and understanding by offering her a private space to talk. This allows the woman to express herself freely without feeling judged or embarrassed in front of others. It also shows the nurse's respect for the woman's privacy and her cultural beliefs, which may include the need for modesty and privacy during emotional situations.
Option A is not culturally competent because it dismisses the woman's emotional state and implies that her behavior is abnormal.
Option B assumes that medication is the solution to the woman's emotional distress and does not address her cultural needs.
Option C is not culturally competent because it disregards the woman's feelings and emotions and implies that her reaction is inappropriate.
Overall, cultural competence is about being respectful and sensitive to the beliefs, values, and customs of individuals and communities from diverse backgrounds, and providing care that is tailored to their unique needs and preferences.
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.
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