NCLEX · Therapeutic Communication

A nurse uses the therapeutic communication technique of 'reflection.' Which response is an example of reflection?

Correct answer

'You're feeling frightened about the surgery tomorrow.' — reflection restates the client's feelings or content to show understanding and encourage further exploration

  1. A 'Why do you feel that way?'
  2. B 'You're feeling frightened about the surgery tomorrow.' — reflection restates the client's feelings or content to show understanding and encourage further exploration
  3. C 'Everything will be fine, don't worry.'
  4. D 'You should talk to your doctor about that.'

Why this is the answer

REFLECTION — A THERAPEUTIC COMMUNICATION TECHNIQUE: Reflection restates or mirrors the client's expressed feelings or content, demonstrating active listening and encouraging the client to continue. EXAMPLE: Client: 'I'm so scared about the surgery.' Nurse (reflection): 'You're feeling frightened about the surgery tomorrow.' This shows the nurse heard and understood, validates the feeling, and invites further expression; OTHER THERAPEUTIC TECHNIQUES: Open-ended questions ('Tell me more about...'); clarification ('I'm not sure I understand, can you explain?'); silence (allows the client time); focusing; summarizing; offering self ('I'll sit with you'); NON-THERAPEUTIC responses to avoid: 'Why' questions (can feel accusatory/demanding); false reassurance ('everything will be fine'); giving advice ('you should...'); changing the subject; minimizing feelings; PURPOSE of therapeutic communication: Build trust, encourage expression, demonstrate empathy, facilitate problem-solving; nursing role: use therapeutic techniques to support the client's emotional expression and coping.
Source: NCLEX-RN Psychosocial — Therapeutic Communication, Reflection