A nurse is caring for a client who is prescribed massage therapy to treat panic disorder. The client states, “I can’t stand to be touched by another person.” Which of the following responses should the nurse make?
A.
“Don’t worry about it. Your anxiety will lessen once the massage begins.”
B.
“Why don’t you like to be touched by others?”
C.
“I will request that the massage therapist wear gloves during your treatment.”
D.
” will tell your provider that you would like a treatment other than massage.”
The Correct answer and Explanation is:
The most appropriate response for the nurse in this situation is:
D. “I will tell your provider that you would like a treatment other than massage.”
Explanation:
In this scenario, the client has expressed a significant discomfort with being touched by others, which is crucial information for their care plan. When a client voices concerns or discomfort regarding a prescribed treatment, it’s essential to address these issues directly and professionally.
Here’s why option D is the best choice:
- Respecting Client Autonomy and Comfort: The client’s discomfort with physical touch is a valid concern that needs to be respected. The nurse’s role includes advocating for the client’s preferences and ensuring that any treatments align with their comfort level. By informing the provider about the client’s aversion to touch, the nurse ensures that the treatment plan can be adjusted to better suit the client’s needs and preferences.
- Collaborative Care: The nurse’s response demonstrates a collaborative approach to care. It acknowledges the client’s concerns and involves the healthcare provider in finding an alternative treatment. This approach is patient-centered and emphasizes the importance of tailoring care to individual needs.
- Avoiding Potential Anxiety: Suggesting that the client “don’t worry” or proposing a solution like gloves does not address the root of the client’s anxiety. The client has clearly indicated that they cannot tolerate being touched, and these responses might not alleviate their concerns or might even exacerbate their anxiety.
- Effective Communication: Option B, asking why the client dislikes being touched, could be perceived as invasive and may not address the immediate concern. The goal is to provide a solution rather than delving into the reasons behind the client’s discomfort, especially in the context of ensuring they receive appropriate care.
By choosing option D, the nurse ensures that the client’s treatment is modified to respect their boundaries and mental health needs, ultimately fostering a therapeutic and supportive care environment.