Which action by the nurse best demonstrates therapeutic communication when meeting a newly admitted client ?

Choice A reason: Filling out paperwork or engaging with the electronic health record while a client is speaking creates a communication barrier. It signals to the client that the task or documentation is more important than their personal narrative, which can hinder the development of rapport and trust during the initial admission assessment. Choice B reason: Asking about sensitive or highly personal topics before establishing a foundational relationship can cause the client to become defensive or withdrawn. Therapeutic communication requires the nurse to first build a "climate of trust" through non-threatening interaction before delving into emotionally charged or private medical histories. Choice C reason: Sitting at eye level is a powerful non-verbal technique that equalizes the power dynamic between the nurse and the client. Combined with active listening—which includes leaning forward, maintaining appropriate eye contact, and providing verbal cues—this posture demonstrates presence and genuine interest, facilitating a more open and therapeutic exchange of information. Choice D reason: Standing over a client who is usually seated or in a bed is a non-verbal cue that conveys dominance and authority. This "towering" position can be intimidating and may make the client feel vulnerable or subservient, which is antithetical to the collaborative nature of the therapeutic nurse-client relationship.