A nurse is caring for a client who has recently experienced the loss of a close family member. The client states, 'I feel guilty because I think I could have done more for them while they were alive.' What is the most appropriate initial response by the nurse?
Minimize the client’s feelings by reassuring them that guilt is normal.
Suggest a distracting activity to help take their mind off their guilt.
Encourage the client to express their feelings about the guilt they’re experiencing.
Provide information about the stages of grief to help address their guilt.
The correct answer is to encourage the client to express their feelings about the guilt they’re experiencing. Actively listening and providing a safe space for the client to verbalize their emotions is a key part of therapeutic communication and grief support. Validating feelings helps the client begin to process their grief in a healthy manner. While providing information about grief stages or suggesting distractions may be helpful in later interventions, these responses are not the most effective initial actions when addressing the emotional intensity of guilt. Minimizing their guilt without exploration of their emotions disregards the client’s need for validation and recognition of their feelings.
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NCLEX RN
Psychosocial Integrity
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