C-Lara Mnemonic

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C-Lara Mnemonic

the examination room of the emergency clinic and meets a 56-year-old patient who has gained 6 lbs in 2 weeks and reports having a difficult time breathing because he did not take his medications as ordered at home. The patient is morbidly obese, and the nurse notes from the medical record that he has heart failure. He just had a discussion with a physician who was frustrated and impatient because the patient did not take his medications as prescribed. The patient confronts the nurse, saying, "I'm tired of being treated this way; no one cares. What are you going to do to help me?" Using the C-LARA mnemonic, match the nurse's response to the correct letter of the mnemonic.
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*C-The nurse uses a relaxation technique before responding to the patient's concerns. Calm yourself down. Take a deep breath. Check your pulse. L-The nurse maintains eye contact and actively listens to the patient's perspective. A-The nurse affirms the patient by acknowledging that it is absolutely reasonable for patients to expect that their health care providers care about their situations and that it is disappointing when they have experiences that make them feel like they do not. R-The nurse says, "I want to help you. I can do that better if you tell me what's making it difficult for you to take your medicine each day." A-The nurse explains, "One thing I want you to understand is that your heart medicine will only work if you take the same amount each day."*
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