Which nursing intervention is correct to encourage the client to verbalize his or her health problem

Q: Which nursing response is an example of the nontherapeutic communication block of requesting an explanation?

D. Are you not understanding the explanation I provided? This nursing statement is an example of the nontherapeutic communication block of requesting an explanation. Requesting an explanation is when the client is asked to provide the reason for thoughts, feelings, behaviors, and events.

The diagnosis Disturbed Thought Processes describes an individual with altered perception and cognition that interferes with daily living. Causes are biochemical or psychological disturbances like depression and personality disorders.

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Which therapeutic communication technique is used when the nurse and a client have a conversation?
Which nursing process involves delegation and verbal discussion with the health care team?
What are appropriate nursing interventions for the patient experiencing disturbed sensory perception auditory?
Which nursing response is an example of the nontherapeutic communication block of requesting an explanation?

The focus of nursing is to reduce disturbed thinking and promote reality orientation. Often, confusion in older adults is erroneously attributed to aging. Confusion in the older adult can be caused by a single factor or multiple factors such as depression, dementia, medication side effects, or metabolic disorders. Depression causes impaired thinking in older adults more frequently than dementia.

Disturbed Thought Processes is characterized by the following signs and symptoms:

The following are the common goals and expected outcomes for Disturbed Thought Processes:

The following are the therapeutic nursing interventions for Disturbed Thought Processes:

Interventions	Rationales
Assist with treatment for underlying problems, such as anorexia, brain injury/increased intracranial pressure, sleep disorders, biochemical imbalances.	Cognition/thinking often improves with treatment/correction of medical/psychiatric problems.
Reorient to time/place/persin, as needed.	Inability to maintain orientation is a sign of deterioration.
Have patient write name periodically; keep this record for comparison and report differences.	These are important measures to prevent further deterioration and maximize level of function.
Provide safety measures (e.g., side rails, padding, as necessary; close supervision, seizure precautions), as indicated.	It is always necessary to consider the safety of the patient.
Schedule structured activity and rest periods.	This provides stimulation while reducing fatigue.
Maintain a pleasant and quiet environment and approach patient in a slow and calm manner.	Patient may respond with anxious or aggressive behaviors if startled or overstimulated.
Present reality concisely and briefly and do not challenge illogical thinking. Avoid vague or evasive remarks.	Delusional patients are extremely sensitive about others and can recognize insincerity. Evasive comments or hesitation reinforces mistrust or delusions.
Be consistent in setting expectations, enforcing rules, and so forth.	Clear, consistent limits provide a secure structure for the patient.
Reduce provocative stimuli, negative criticism, arguments, and confrontations.	This is to avoid triggering fight/flight responses.
Refrain from forcing activities and communications.	Patient may feel threatened and may withdraw or rebel.
Do not flood patient with data regarding his or her past life.	Individuals who are exposed to painful information from which the amnesia is providing protection may decompensate even further into a psychotic state.
Identify specific conflicts that remain unresolved, and assist patient to identify possible solutions.	Unless these underlying conflicts are resolved, any improvement in coping behaviors must be viewed as only temporary.
Provide nutritionally well-balanced diet, incorporating patient’s preferences as able. Encourage patient to eat. Provide pleasant environment and allow sufficient time to eat.	These enhance intake and general well-being.
Recognize and support the patient’s accomplishments (projects completed, responsibilities fulfilled, or interactions initiated).	Recognizing the patient’s accomplishments can lessen anxiety and the need for delusions as a source of self-esteem.
Use touch cautiously, particularly if thoughts reveal ideas of persecution.	Patients who are suspicious may perceive touch as threatening and may respond with aggression.
Use the techniques of consensual validation and seeking clarification when communication reflects alteration in thinking. (Examples: “Is it that you mean . . . ?” or “I don’t understand what you mean by that. Would you please explain?”)	These techniques reveal to the patient how he or she is being perceived by others, while the responsibility for not understanding is accepted by the nurse.
Engage the patient in one-to-one activities at first, then activities in small groups, and gradually activities in larger groups.	A distrustful patient can best deal with one person initially. Gradual introduction of others when the patient can tolerate is less threatening.
Encourage patient to verbalize true feelings. Avoid becoming defensive when angry feelings are directed at him or her.	Verbalization of feelings in a non-threatening environment may help patient come to terms with long-unresolved issues.
Teach patient to intervene, using thought-stopping techniques, when irrational or negative thoughts prevail.	Thought stopping involves using the command “stop!” or a loud noise (such as hand clapping) to interrupt unwanted thoughts. This noise or command distracts the individual from the undesirable thinking that often precedes undesirable emotions or behaviors.
Encourage patient to participate in resocialization activities/groups when available.	This is to maximize level of function.
Assist in identifying ongoing treatment needs/rehabilitation program for the individual.	This measure is important to maintain gains and continue progress if able.
Identify problems related to aging that are remediable and assist patient to seek appropriate assistance/access resources.	These encourage problem-solving to improve condition rather that accept the status quo.
Assist patient and SO develop plan of care when problems are progressive/long term.	Advance planning addressing home care, transportation, assistance with care activities, support and respite for caregivers, enhance management of patient in home setting.
Refer to community resources (e.g., day-care programs, support groups, drug/alcohol rehabilitation, mental health treatment programs).	These measures are necessary to promote wellness.

Recommended nursing diagnosis and nursing care plan books and resources.

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Which therapeutic communication technique is used when the nurse and a client have a conversation?

Active listening involves showing interest in what patients have to say, acknowledging that you're listening and understanding, and engaging with them throughout the conversation. Nurses can offer general leads such as “What happened next?” to guide the conversation or propel it forward.

Which nursing process involves delegation and verbal discussion with the health care team?

Which nursing process involves delegation and verbal discussion with the healthcare team? The implementation process involves delegation and verbal discussion with the healthcare team. Planning involves interpersonal or small group healthcare team sessions.

What are appropriate nursing interventions for the patient experiencing disturbed sensory perception auditory?

Disturbed Sensory Perception: Auditory/Visual. ... Nursing Interventions and Rationale..

Which nursing response is an example of the nontherapeutic communication block of requesting an explanation?

D. "Are you not understanding the explanation I provided?" This nursing statement is an example of the nontherapeutic communication block of requesting an explanation. Requesting an explanation is when the client is asked to provide the reason for thoughts, feelings, behaviors, and events.

Which nursing intervention is correct to encourage the client to verbalize his or her health problem

Which therapeutic communication technique is used when the nurse and a client have a conversation?

Which nursing process involves delegation and verbal discussion with the health care team?

What are appropriate nursing interventions for the patient experiencing disturbed sensory perception auditory?

Which nursing response is an example of the nontherapeutic communication block of requesting an explanation?

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