A nurse is conducting an admission interview with a client who is withdrawn and offers only short responses. Which of the following actions by the nurse demonstrates effective use of therapeutic communication techniques?
Explanation & Rationale
A. Asking the client to explain why they are being so quiet: This approach may put the client on the defensive and provoke anxiety or resistance. Asking “why” questions can feel judgmental and does not promote a supportive, nonthreatening environment for communication. B. Sitting in silence until the client begins to talk more freely: While silence can be therapeutic in some contexts, passive waiting without guidance may increase discomfort or frustration for a withdrawn client, limiting engagement and failing to facilitate meaningful communication. C. Telling the client, "You'll feel better once we get through this interview.": This statement is assumptive and directive, potentially minimizing the client’s current emotional experience. It does not encourage self-expression and may reduce trust in the therapeutic relationship. D. Using open-ended questions to encourage client expression: Open-ended questions invite the client to share thoughts and feelings without judgment, fostering verbalization and active participation. This technique supports rapport building, provides insight into the client’s mental state, and aligns with therapeutic communication principles.