NCLEX · Therapeutic Communication

Which of the following is the BEST example of an open-ended question that encourages a client to share more?

Correct answer

'How have you been feeling since you came to the unit?'

  1. A 'Are you feeling sad today?'
  2. B 'How have you been feeling since you came to the unit?'
  3. C 'You're doing fine, right?'
  4. D 'Do you want to talk or not?'

Why this is the answer

Open-ended questions invite the client to express thoughts and feelings in their own words rather than giving a one-word answer, which is a core therapeutic communication technique. 'How have you been feeling since you came to the unit?' cannot be answered with a simple yes or no and encourages elaboration. By contrast, 'Are you feeling sad today?' and 'You're doing fine, right?' are closed-ended or leading, and 'Do you want to talk or not?' is closed and can feel confrontational. Using open-ended questions helps build rapport and gather meaningful information. (This reflects general communication principles; verify specifics against current NCLEX prep materials.)
Source: NCLEX-PN Psychosocial — Therapeutic Communication, Open-Ended Questions