The nurse is caring for a client who refuses to participate in physical therapy (PT) and states, "I really don't like to exercise.". Which response is most likely to help engage the client in physical therapy?
1. "It makes the pain worse, doesn't it?"
2. "What don't you like about exercise?"
3. "You really should do these exercises.".
4. "Do you like to do any other activities?"
2
2. The nurse asks an open-ended question using the client's words to uncover information about the client's refusal to participate in PT by asking what the client dislikes about exercise. Using the client's words conveys acceptance and value because the nurse listened closely enough to repeat what the client said; in addition, the nurse is asking the client to continue describing the client's feelings to uncover factors that can be resolved or other issues requiring follow-up care and, ultimately, result in client participation.
1. Asking about the pain in this manner poses a "yes or no" question and is unlikely to stimulate further discussion by the client.
3. Nurses provide information but do not give advice; telling the client that the exercises should be performed is giving advice. Instead, the nurse can tell the client the reason for PT and the potential risks and benefits.
4. Asking about other activities inhibits communication because the question sidesteps the issue of engaging the client in PT.
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