The nurse is engaged in a conversation with a patient. Which statement should the nurse avoid because it represents nontherapeutic communication?
1. "Why do you think you will never get well?"
2. "How do you feel about being discharged today?"
3. "What are your concerns about your living situation?"
4. "What happened when you quit taking your medications?"
1. "Why do you think you will never get well?"
Explanation:
Therapeutic communication skills are used to foster the nurse-patient relationship in the psychiatric-mental health setting. Asking the patient, "Why do you think you will never get well?" is an example of requesting an explanation, which is not therapeutic and requires the patient to defend personal actions. Asking how the patient feels about being discharged, what happened when medication was discontinued, or concerns about the patient's living situation are examples of therapeutic communication.
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