The best therapeutic response in this situation is option C: “I understand that you feel sad that you can’t do the same things any longer.

QUESTION

Misty is 28 years old and 15 weeks pregnant with her first baby. As you perform her OB assessment in the office, she starts to cry. She tells you she doesn’t know what she was thinking becoming pregnant. She says she loves the idea of being a mom but didn’t realize how much she would have to give up and change. What is your best therapeutic response?

A. That’s very selfish of you. Maybe you should give the baby up for adoption if you aren’t going to be able to be a good mom.

B. “”I understand that you feel sad that you can’t do the same things any longer. Would you like me to give you the number to a good therapist?

C.””I understand that you feel sad that you can’t do the same things any longer. Grieving the loss of things you won’t be able to do any longer is a normal response to pregnancy. Do you want to tell me more about how you’re feeling?

D.””I understand that you feel sad that you can’t do the same things any longer. Grieving the loss of things you won’t be able to do any longer could cause you to develop anxiety and depression. It’s important that you get over those feelings and start enjoying your pregnancy.”

ANSWER

The best therapeutic response in this situation is option C: “I understand that you feel sad that you can’t do the same things any longer. Grieving the loss of things you won’t be able to do any longer is a normal response to pregnancy. Do you want to tell me more about how you’re feeling?”

Here’s why option C is the most appropriate response

1. Empathy and Validation;Option C begins with empathy and validation of the patient’s feelings. It acknowledges Misty’s sadness and recognizes that her emotions are normal during pregnancy. This response shows understanding and support.

2. Open Invitation for Communication: By asking, “Do you want to tell me more about how you’re feeling?” the nurse encourages open communication. This approach allows Misty to express her thoughts and feelings further without judgment or pressure.

Conversely, options A, B, and D are not appropriate for the following reasons:

Option A is judgmental and critical, which can increase Misty’s distress and may damage the nurse-patient relationship.

Option B offers the idea of therapy without first acknowledging Misty’s emotions. While therapy may be beneficial, it’s essential to validate her feelings before suggesting additional support.

Option D starts with empathy but quickly shifts to a directive tone, implying that Misty should “get over” her feelings. This response is dismissive of her emotional experience and may lead to increased anxiety or depression.

In situations where a patient expresses emotional distress, it is essential to offer understanding, empathy, and an open invitation for them to share their feelings. This approach allows for a therapeutic nurse-patient relationship and can help the patient cope with their emotions effectively.