Nursing Acceleration Challenge Exam (NACE) PN-RN Practice Test

What is an example of therapeutic communication with a burn patient who refuses treatment because it is painful?

1. "Everyone gets upset at times"

2. "You should stop arguing with the nurses"

3. "Let's talk about this and see if we can figure out a way to make the treatment more comfortable for you"

4. "You should be happy that the burns are healing so well"

The correct answer is: "Let's talk about this and see if we can figure out a way to make the treatment more comfortable for you"

The response that encourages a dialogue about the patient's feelings and focuses on their comfort is especially effective in the context of therapeutic communication. This approach recognizes the patient's autonomy and validates their experience by acknowledging the pain associated with treatment. By suggesting a collaborative discussion about ways to make the treatment more comfortable, it demonstrates respect for the patient's concerns and encourages an open line of communication. This not only helps to build trust between the patient and healthcare provider but also empowers the patient to express their needs and preferences regarding their care. Addressing the other options, the statements that do not engage with the patient's feelings or provide any form of support or understanding. They might dismiss the patient's emotional state or concerns, which can be counterproductive in fostering a therapeutic relationship. Such responses may lead the patient to feel unheard or discouraged, ultimately hindering their willingness to cooperate with treatment.