A patient says, “The voices keep telling me that I am worthless.” Which response is most therapeutic?

Correct answer: B. I do not hear the voices, but I understand they are distressing to you.

  • A. You should ignore the voices and think positively.
  • B. I do not hear the voices, but I understand they are distressing to you.
  • C. Those voices are real, so you must obey what they say.
  • D. Why do you listen to voices that are not really there?

Explanation

The response acknowledges the patient's distress without agreeing that the hallucinations are real. Arguing, validating the hallucination, or giving simple advice is nontherapeutic and may reduce trust.

Submitted by a TestUstad contributor and published by the TestUstad editorial teamLast updated
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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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