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Difficulty: EasyTherapeutic Communication

A client who is awaiting diagnostic test results is pacing the room and states, "I cannot stop thinking that this might be something terrible." Which of the following responses by the practical nurse are therapeutic? (Select all that apply)

  1. You appear very anxious about what the test results might reveal.Answer
  2. B
    Everything is going to be completely fine once the results come back.
  3. Tell me more about what is concerning you the most right now.Answer
  4. D
    Why do you believe that it might be something terrible?

Answer

The therapeutic responses involve stating that the client appears anxious and asking the client to share more about their specific concerns.
The correct responses utilize established therapeutic communication techniques. Noting that the client appears anxious is an example of making observations, which acknowledges and validates their feelings. Asking the client to tell more about their concerns is an example of exploring, an open-ended technique that encourages the client to freely share their thoughts without feeling judged.

Step-by-Step Solution

1
Analyze the client's statement and physical behavior to identify their underlying emotional state.
The client's pacing and expressed fear about the pending test results indicate a high level of anxiety.
Understanding the client's emotional baseline is necessary to select a response that validates their feelings.
2
Evaluate each response option to distinguish between therapeutic communication techniques and non-therapeutic communication blocks.
Reflecting feelings and exploring are therapeutic approaches, while offering false reassurance and asking 'why' questions are non-therapeutic barriers.
The nurse must use techniques that encourage expression and build trust, rather than statements that shut down the conversation or cause defensiveness.

Key Concept

Therapeutic Communication Techniques and Barriers
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Topics

Therapeutic Communication

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