NCLEX · Therapeutic Communication

A client says, 'I'm so worried about my surgery tomorrow.' Which response by the nurse is most therapeutic?

Correct answer

'Tell me more about what is concerning you.'

  1. A 'Don't worry, everything will be fine.'
  2. B 'Tell me more about what is concerning you.'
  3. C 'You shouldn't feel that way.'
  4. D 'Everyone gets nervous; it's nothing.'
  5. 'Let's talk about something else.'

Why this is the answer

The most therapeutic response is 'TELL ME MORE about what is concerning you' — an OPEN-ENDED statement that ENCOURAGES the client to express feelings and explores their concerns. NCLEX-PN psychosocial/therapeutic communication. THERAPEUTIC TECHNIQUES: open-ended questions, active listening, reflection, clarification, silence, acknowledging feelings. NON-THERAPEUTIC (avoid): false reassurance ('everything will be fine' — dismisses feelings and may be untrue); minimizing ('it's nothing'); giving disapproval ('you shouldn't feel that way'); changing the subject (avoids the client's concern). Exploring and validating the client's feelings, rather than dismissing them, builds trust and addresses the real concern. Identifying therapeutic vs non-therapeutic communication is heavily tested.
Source: NCLEX-PN Psychosocial — Therapeutic Communication