A patient with depression says, “I do not want to take this medicine because it changes me.” Which nurse response is most therapeutic?
Correct answer: B. “Tell me more about how you feel it changes you.”
- A. “You should take it because the doctor prescribed it.”
- B. “Tell me more about how you feel it changes you.”
- C. “Do you dislike the colour or size of the tablet?”
- D. “Many patients feel better after taking this medicine.”
Explanation
“Tell me more” is an open-ended response that encourages the patient to describe concerns about the medicine. Advice-giving, narrow questioning, and false reassurance may stop further expression and prevent the nurse from identifying the actual problem.
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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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