A patient gives brief answers and avoids eye contact while discussing a new diagnosis. Which response best demonstrates therapeutic communication?
Correct answer: C. I notice this is difficult; what concerns you most now?
- A. You should try to stay positive about the diagnosis
- B. Why are you refusing to talk about your illness?
- C. I notice this is difficult; what concerns you most now?
- D. Many patients feel this way, so there is no need to worry
Explanation
This response uses an observation and an open-ended, nonjudgmental question to invite the patient to share concerns. Advice, accusatory wording and false reassurance can close communication and reduce trust.
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About Documentation, Reporting and Communication
Documentation covers accurate, timely and objective nursing records, charting formats, incident reports, medication records, confidentiality and legal accountability. Communication includes therapeutic listening, questioning, empathy, handover and reporting using a structured method such as SBAR, while distinguishing subjective patient statements from objective observations.
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