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A nurse is caring for an older adult client preparing for discharge to a nursing center after having hip surgery. Which of the following nursing responses is most therapeutic when dealing with the client's concern that she, will never go back home?

1. What makes you think that this transfer to the nursing center will be permanent?
2. The reason for this transfer is only to support you while you continue to recuperate.
3. The decision to stay in the nursing center is yours to make. When you want to leave no one will stop you.
4. The nursing center is a lovely place with a wonderful staff of caring people. Just give it a chance. You may like it.

User Aftershock
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1 Answer

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Final answer:

The most therapeutic response is to reassure the patient that the transfer is only for support during recuperation, easing concerns about permanence and emphasizing the goal of recovery. Empathetic and informative communication is essential.

Step-by-step explanation:


The most therapeutic nursing response when dealing with the client's concern about never going back home after hip surgery and preparing for discharge to a nursing center is: "The reason for this transfer is only to support you while you continue to recuperate." This statement acknowledges the patient's feelings and provides reassurance about the temporary nature of the stay, focusing on recovery and improvement. Further discussion can explore the patient's fears and clarify misunderstandings about the role of the nursing center in their recovery process.


It's important to remember that for many elderly people, the transition to a nursing center after events like hip surgery can be perceived as a loss of independence and trigger fears of permanent displacement from their homes. Therapeutic communication should be employed to ease these concerns. The nurse's response should be supportive and informative, reflecting an understanding of the challenges that come with aging and institutionalization. This approach aligns with research suggesting that empathetic support can positively impact the patient's experience and recovery outcomes. Reassuring the patient that the stay is meant to aid in their healing and that their autonomy is respected is crucial in fostering a positive outlook toward their stay and eventual return home.

User Fani
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