NCLEX · Therapeutic Communication

A client who is grieving the recent death of a spouse says, 'I just don't know how I'll go on without them.' What is the most therapeutic response?

Correct answer

'You're feeling lost and overwhelmed right now. Tell me about your spouse.' — acknowledging the feeling and inviting the client to share supports healthy grieving

  1. A 'Time heals all wounds. You'll feel better soon.'
  2. B 'You're feeling lost and overwhelmed right now. Tell me about your spouse.' — acknowledging the feeling and inviting the client to share supports healthy grieving
  3. C 'At least they're not suffering anymore.'
  4. D 'You need to stay strong for your family.'

Why this is the answer

GRIEF SUPPORT — THERAPEUTIC COMMUNICATION: The most therapeutic response acknowledges the client's feelings and invites them to express their grief. EXAMPLE: Reflecting the feeling ('you're feeling lost and overwhelmed') and inviting expression ('tell me about your spouse') validates the grief and supports the grieving process; AVOID (non-therapeutic, clichéd, dismissive): 'Time heals all wounds' (minimizes, offers false comfort); 'At least they're not suffering' (minimizes the loss, tells them how to feel); 'You need to stay strong' (denies their right to grieve, adds pressure); 'I know how you feel' (you don't); NORMAL GRIEF: Includes sadness, anger, guilt, yearning, difficulty functioning — varies widely by individual and culture; THERAPEUTIC PRESENCE: Allow expression of feelings; use silence; offer presence; validate; encourage reminiscence (sharing memories supports healthy grieving); COMPLICATED GRIEF: If prolonged, severe, or impairing — may need referral; nursing role: support healthy grieving through presence, validation, and therapeutic communication; allow the client to express feelings at their own pace.
Source: NCLEX-RN Psychosocial — Grief, Therapeutic Response