A patient says, “Everyone here is against me.” Which response best presents reality without arguing?
Correct answer: B. “You seem to feel that the staff are working against you.”
- A. “That is not true, because the staff are helping you.”
- B. “You seem to feel that the staff are working against you.”
- C. “Why would the staff want to harm you?”
- D. “Do you believe every staff member is against you?”
Explanation
The nurse acknowledges the patient’s perception without agreeing that it is factual, which preserves rapport and supports reality-based communication. Arguing, probing, or using a narrow question may increase defensiveness.
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About Therapeutic Communication
Therapeutic communication covers active listening, empathy, clarification, reflection, silence, open-ended questioning, and purposeful responses that help patients express thoughts and feelings. It distinguishes therapeutic techniques from barriers such as false reassurance, advice-giving, judgment, changing the subject, probing, and asking repeated or closed questions.
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