NCLEX-PN® ExaminationPsychosocial IntegrityEasy
A practical nurse is assisting with the care of a client who has recently experienced a sudden job loss and is expressing feelings of hopelessness and worthlessness. The client states, 'I don't know how I'm going to take care of my family now; I'm a complete failure.' Which of the following is the most appropriate initial response by the nurse?
- AIt sounds like you are feeling overwhelmed by your current situation.
- BFocus on the positive aspects of your life; things will get better.
- CMany people lose their jobs and find new ones; you'll be fine.
- DHave you considered looking into unemployment benefits or job counseling?
Show answer & explanationAnswer & explanation
Correct answer: A. It sounds like you are feeling overwhelmed by your current situation.
Therapeutic communication often begins with acknowledging and validating the client's feelings. This response uses reflection to show empathy and encourage further expression, which is crucial in building rapport and understanding the client's perspective.
Why the other options are wrong
- B. This response minimizes the client's feelings and offers platitudes, which can invalidate their experience and shut down communication.
- C. This response minimizes the client's feelings and offers false reassurance, which is not therapeutic.
- D. While practical advice may be needed later, it is premature and dismissive of the client's emotional distress at this initial stage.
Therapeutic Communication: Reflection
Reflection is a therapeutic communication technique where the nurse repeats or rephrases the client's feelings or words to demonstrate understanding and encourage further expression.
- Validates client's feelings.
- Promotes self-awareness in the client.
- Encourages deeper exploration of thoughts/emotions.
Memory trick: Listen, Reflect, Understand: Your feelings are valid, I'm here to comprehend.