Instructions: Read the Case Study carefully and pay attention to
Instructions: Each question below has a scenario with communication responses from the nurse. identify for each potential nurse response: Is it therapeutic or non-therapeutic? What specific style of communication is being demonstrated? Question 1: Patient John Smith, 52 years old, was admitted 2 days ago for borderline dehydration. Pt. was admitted so that his oral intake could be monitored and be discharged sooner, however patient labs still have not improved, so MD has ordered patient to receive a 1000cc NS bolus and to be given 90cc per hour for next 24 hours to improve lab values, therefor requiring insertion of IV. FYI, Mr. Smith reported that he does not want an IV inserted. What statement by the nurse demonstrates therapeutic communication? “Don’t worry Mr. Smith, you should be fine. IV insertion is a piece of cake, and nothing should go wrong.” 2. “Mr. Smith, you need the IV Inserted, so that it improves your hydration and improve your lab values.” 3. “Mr. Smith what is problem with getting an IV insertion. Trust me it is for your good.” 4. “Mr. Smith you should not fear a needle at your age. It just does not make since.” Question 2: The patient has been prescribed a medication to prevent clotting. They disclose they are currently taking a baby aspirin daily as well as Vitamin E over the counter. “You can’t take those medications with this prescription because it will kill you.” 2. Why would you take those?” 3. “Everything will be fine if you just follow my instructions.” 4. “Tell me what you know about this new medication.” Question 3: Mr. Jones, 32 years old, was found passed out in a person’s yard. He was brought to the hospital by ambulance with a high blood alcohol level. Although his blood alcohol level is now very low and he is awake and watching activity in the ED, he is not talking to the staff about what brought him in to the hospital. Identify the style of communication demonstrated by each nursing statement and whether or not it is therapeutic. “Mr. Jones, I need to know what happened now so I can plan your discharge.” “Mr. Jones, you slept all night and now it’s time to wake up and talk.” “Mr. Jones, it must be very frustrating to wake up without knowing where you are and how you got there.” “Mr. Jones, if I were you, I would check myself into an alcohol rehab center.” Question 4: A month ago, Janie (39 years old) was admitted to hospice care. She was previously on palliative care with a diagnosis of end stage renal disease. Janie has two young children aged eight and eleven. She is married to John (42 years old) who works full-time to support the family and carries health insurance. On this visit John called the hospice nurse to visit Janie. He stated that she hasn’t eaten or urinated in two days and sleeps throughout the day. John is concerned and would like the nurse to insert a foley catheter for Janie and begin intravenous or tube feeding today so that she won’t starve. John is also inquiring if Janie will be able to attend a family vacation next month which will require a three-hour car ride. Which of the following statements by the nurse are appropriate and therapeutic? Provide the communication technique being used. “John, I understand that you are concerned about Janie. I can insert a foley catheter and an IV for fluids. You are right to be concerned about her not urinating and eating, thanks for calling.” 2. “John thanks for sharing your concerns about Janie. I would like to discuss Janie’s condition with you and ways that we can make her comfortable.” 3. “John, you called just in time, we should call 911 and get her to the hospital immediately.” 4. “Janie I am hearing a lot from John. I want to hear how you feel. Would you like to eat, if so, we can order you something. Whatever you like.”
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