Help in Theraputic communication

[cathy07]

Hi!

Iam a student can you please help me answering this question which comes in my theraputic lesson and Iam unable to attend this question:

Ques) As you are talking to Mrs.X daughter about her mothers discharge home. Mrs X begins to cry uncontrollably.She says she can't take it anymore and feels like "Strangling" her mother sometimes

Verbatim,write exactly how you would respond to mrs. x comment:

please answer this question

thanks!

[tarheelsu]

Well do you have some guidelines in your textbook or notes for therapeutic communication? I think there should be some in your fundamentals book and definitely in a psych book. In this case think about coming across as being nonjudgemental and upsing open ended questions. For example, "You seem overwhelmed, would you like to talk more about your concerns?" You might want to ask about their support system, if they have respite care providers for the mother, etc.

[decembergrad2011, BSN, RN]

I'm confused on who everyone is in the prompt, to be honest, so let me work it out...Talking to Mrs. X's daughter about her mother's discharge home. Mrs. X - so the mother who is being discharged home - begins to cry uncontrollably. She (I'm assuming Mrs. X's daughter) says she can't take it anymore and feels like strangling her mother.

Ok. I'm assuming we are then responding to Mrs. X's daughter rather than Mrs. X?

In my opinion it's about thinking Maslow in this case, so safety is the issue. Mrs. X's daughter has expressed being overwhelmed with an urge to harm her mother and there is the potential for abuse. I'm assuming the daughter is her primary caregiver. Do a safety/violence screen. Your textbook should have some therapeutic techniques, such as open-ended questions, summarizing, and reflecting, to utilize during the conversation. It would also be best to separate Mrs. X and her daughter and talk to them separately. Mrs. X's crying at the talk of being discharged home could indicate a behavioral reaction to previous abuse. Ask direct questions about abuse of Mrs. X, such as, "Have you ever been physically, sexually, or verbally abused?" If she indicates that she has been, I believe all states are now mandatory reporting for elder abuse. You need to ask the daughter about presence of weapons, anger prevalence and triggers, and anger management techniques. A lot of this depends on assuming that Mrs. X is A&Ox3.

That should get you started. Remember that in writing verbatim, they want you to create a dialogue. I'm not sure how long your assignment is supposed to be, but good luck.

[~Mi Vida Loca~RN, ASN, RN]

"It sounds like you are upset with your mother, let's talk about that"

[DLS_PMHNP, MSN, RN, NP]

Put your arm around her and let her cry.

Say "I can't imagine how hard this must be for you..."

[Mike R, ADN, BSN, RN]

"It sounds like you are upset with your mother, let's talk about that"

Sounds like a verbatim answer from one of my tests!

[~Mi Vida Loca~RN, ASN, RN]

Sounds like a verbatim answer from one of my tests!

Many of the ones I had too. Lol