While reviewing therapeutic communication techniques, a nursing student made a list of "things not to do or say to a client." Which of the following comments should be on the student's list?
1. "How do you feel about being discharged today?"
2. "What happened when you quit taking your medications?"
3. "What are your concerns about your living situation?"
4. "Why do you think you will never get well?"
4
Rationale: Therapeutic communication skills are used to foster the nurse–client relationship in the psychiatric–mental health setting. Asking the client "Why do you think you will never get well?" is an example of requesting an explanation, which is not therapeutic and requires the client to defend his or her actions. Asking how the client feels about being discharged, what happened when medication was discontinued, or concerns about the client's living situation are examples of therapeutic communication.
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