NCLEX · Therapeutic Communication

A client just received a new terminal diagnosis and begins crying. The nurse should:

Correct answer

Remain with the client; offer tissues; allow them to cry without rushing to stop the tears; place a hand on their arm if culturally appropriate and welcomed; say quietly 'Take your time. I'm here.'

  1. A Quickly change the subject to something positive
  2. B Say 'Everything will be okay'
  3. C Remain with the client; offer tissues; allow them to cry without rushing to stop the tears; place a hand on their arm if culturally appropriate and welcomed; say quietly 'Take your time. I'm here.'
  4. D Leave to give them privacy

Why this is the answer

THERAPEUTIC PRESENCE in grief: The most therapeutic response to tears is PRESENCE and PERMISSION — allowing the grief without rushing to stop it or fix it.

Why staying is correct: Leaving 'to give privacy' communicates that the nurse is uncomfortable with their grief — the client is already alone with a devastating diagnosis.

Tissues: Practical comfort without interrupting the emotional process.

Gentle touch: When culturally appropriate and welcomed; some clients find touch comforting, others do not — read cues.

Silence: Crying clients do not need words; quiet reassurance ('I'm here') is sufficient.

False reassurance: 'Everything will be okay' when the client has a terminal diagnosis is a lie — it destroys trust.

Subject change: Communicates that the nurse cannot tolerate the client's feelings — shuts down future disclosure. The therapeutic role in grief is to witness and accompany — not to fix, cheer, or rush.

Source: NCLEX-PN Test Plan: Psychosocial — Therapeutic Communication, Presence in Grief

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About this topic: Therapeutic Communication

Therapeutic communication questions ask for the best response to a client — open-ended, reflective, non-judgemental — and the blocks to avoid: false reassurance, giving advice, changing the subject, why questions. This is one of 15 PN: Psychosocial Integrity questions on therapeutic communication, each with a full explanation on a single study page.

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