NCLEX · Therapeutic Communication

A client is crying after receiving difficult news. Which nursing action best demonstrates therapeutic presence?

Correct answer

Sit with the client, offer a tissue, and allow silence, conveying support and a willingness to listen

  1. A Leave the room to give privacy and avoid intruding
  2. B Sit with the client, offer a tissue, and allow silence, conveying support and a willingness to listen
  3. C Tell the client to stop crying
  4. D Immediately offer detailed medical advice

Why this is the answer

Therapeutic PRESENCE after difficult news: SIT WITH the client, offer comfort (a tissue), and ALLOW SILENCE — conveying support, empathy, and a willingness to listen without rushing. NCLEX psychosocial/therapeutic communication. SILENCE is a therapeutic technique — it gives the client time to process emotions and shows the nurse is present and unhurried. Being physically present and emotionally available is powerful support. AVOID: leaving (can feel like abandonment when the client needs support), telling the client to stop crying (dismissive), or jumping to advice/information when the client needs emotional support first. Allow the client to express emotion. Knowing that therapeutic presence (sitting with, allowing silence) supports a distressed client is a commonly tested NCLEX communication concept.
Source: NCLEX Psychosocial — Therapeutic Presence/Silence