NCLEX · Therapeutic Communication

A nurse is providing therapeutic communication to an anxious pre-operative client. Which statement best demonstrates therapeutic technique?

Correct answer

'Tell me what specifically is making you feel anxious about the surgery'

  1. A 'Don't worry — everything will be fine'
  2. B 'Tell me what specifically is making you feel anxious about the surgery'
  3. C 'Thousands of people have this surgery every year without problems'
  4. D 'Let me explain the statistics on surgical outcomes'

Why this is the answer

THERAPEUTIC COMMUNICATION — ANXIETY EXPLORATION: BEST RESPONSE: 'Tell me what specifically is making you feel anxious...' REASONS: Open-ended — invites the client to elaborate rather than answer yes/no; Client-specific — focuses on THIS client's concern, not generalisations; Actionable — identifies the specific fear, which can then be addressed (fear of anaesthesia, pain, outcomes, separation from family?); Non-dismissive — does not minimise the anxiety; WHAT'S WRONG WITH THE OTHERS: 'Don't worry, everything will be fine' = false reassurance; 'Thousands have it without problems' = minimising statistics, doesn't address the individual; 'Explaining statistics' = providing information before understanding the specific concern; THERAPEUTIC PRINCIPLE: Gather before giving — understand the client's specific concern before providing information; targeted reassurance after understanding the fear is more effective than generic reassurance before.
Source: NCLEX-RN Psychosocial — Therapeutic Communication, Anxiety Exploration Technique