Question

A 90-year-old long-term care resident tells the nurse she has gotten three or four mosquito bites and they are swollen and very itchy. The nurse replies, “That’s nothing; they’ll be gone in a few days.” What type of communication technique did the nurse use? a. Nontherapeutic minimizing b. Nontherapeutic use of cliché c. Therapeutic informing d. Therapeutic clarification

Short answer

a. Nontherapeutic minimizing

Step-by-step solution

Understand the Nurse's Response

Carefully read what the nurse says: 'That’s nothing; they’ll be gone in a few days.' This statement dismisses the resident's concerns and suggests that the nurse does not consider them serious.

Define Each Communication Technique

a. Nontherapeutic minimizing: Downplaying or dismissing the patient's concerns.b. Nontherapeutic use of cliché: Using common phrases or clichés that lack deep meaning.c. Therapeutic informing: Providing information to help the patient understand their condition.d. Therapeutic clarification: Asking for clarification or restating what the patient said to ensure understanding.

Match the Response to the Techniques

Evaluate which communication technique best matches the nurse’s response. The nurse's response, 'That’s nothing; they’ll be gone in a few days,' dismisses the patient’s concerns. This corresponds to nontherapeutic minimizing because it downplays the patient's feeling that the mosquito bites are a problem.

Select the Best Answer

Among the given options, the one that best matches the nurse's dismissive response is (a) Nontherapeutic minimizing.

Key concepts

Nontherapeutic Techniques

In nursing, communication is key to building trust and providing effective care. Nontherapeutic techniques are communication methods that can hinder this process. They can make patients feel misunderstood or dismissed. Examples of nontherapeutic techniques include:

• Minimizing: Downplaying the patient's concerns, as seen in the example where the nurse says, 'That's nothing; they'll be gone in a few days.'
• Clichés: Using generic phrases like 'Everything will be okay,' which can seem dismissive.
• Defensive Responses: Arguing or justifying one's actions, which can increase the patient's stress.
• Changing the Subject: Shifting the focus away from the patient's concerns to something else.

These techniques often stem from a lack of awareness or training. It's crucial for nurses to recognize them and strive to avoid them to maintain effective communication.

Patient Concerns

When working with patients, recognizing and addressing their concerns is essential. Patients often feel vulnerable and need reassurance. Here are some ways to effectively address patient concerns:

• Active Listening: Truly hearing and understanding what the patient is saying without interrupting.
• Empathy: Showing that you understand and share the feelings of your patient.
• Validation: Acknowledging that the patient’s feelings are legitimate and important.
• Open-Ended Questions: Encouraging the patient to express more about their feelings and concerns.

In the case of the 90-year-old resident with itchy mosquito bites, a better response might have been, 'I understand that those bites are bothering you. Let’s see how we can make you more comfortable.' This ensures the patient feels heard and taken seriously.

Nurse-Patient Interaction

Effective nurse-patient interaction creates a foundation for trust and quality care. It involves mutual respect, empathy, and clear communication. Important aspects include:

• Therapeutic Communication: Techniques like active listening, empathy, and therapeutic listening help build rapport and trust.
• Body Language: Non-verbal cues such as eye contact and nodding can show that the nurse is engaged and empathetic.
• Patient Education: Providing clear and relevant information helps patients understand their condition and care plan.
• Consistent Follow-Up: Checking back with the patient to monitor their condition and address any ongoing concerns.

In our exercise, the interaction could be improved by using therapeutic techniques, ensuring the patient feels cared for and their concerns validated. This approach fosters a supportive environment conducive to healing and trust.