Which nursing intervention is most appropriate for a client who has undergone a total laryngectomy and appears withdrawn?

Encouraging a client who has undergone a total laryngectomy to express his feelings in writing is a particularly effective nursing intervention because it provides an alternative means of communication. After a total laryngectomy, the individual loses the ability to speak in the traditional way, which can lead to feelings of frustration, isolation, and emotional withdrawal. Allowing the client to express his thoughts and feelings in writing helps to facilitate emotional release and can support the healing process. This form of communication can also help the nurse better understand the client's emotions and address any concerns or needs he may have.

Writing enables the client to articulate experiences or emotions that might be difficult to verbalize, fostering a sense of autonomy and agency. This intervention also encourages engagement and validates the client’s feelings, which is essential in promoting mental and emotional health after such a significant life change.

In contrast, discussing behavior with a family member might not respect the client’s privacy and could lead to feelings of being exposed or judged. Exploring future plans may not be appropriate at this time, particularly if the client is not ready for such discussions. Respecting his need for privacy is important, yet active engagement through writing can assist in breaking through the withdrawal and actively involving him in his care process.