A patient remains silent after describing a painful childhood experience. Which nursing response is most therapeutic?
Correct answer: B. Use silence and remain present with the patient
- A. Change the subject to reduce discomfort
- B. Use silence and remain present with the patient
- C. Ask several questions to obtain details quickly
- D. Tell the patient to focus on positive memories
Explanation
Purposeful silence allows the patient time to process emotions and shows that the nurse can tolerate difficult communication. Changing the subject or giving advice may communicate discomfort and can interrupt the patient’s expression.
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About Foundations of Mental Health Nursing
Mental health nursing covers concepts of normal and abnormal behavior, major psychological theories, psychiatric assessment, the nurse’s therapeutic role, and the use of a safe therapeutic milieu. It also includes confidentiality, informed consent, patient rights, ethical decision-making, legal responsibilities, and individualized nursing care planning.
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