A client has been working on relationship issues with a psychiatric nurse. The client usually changes the subject or reverts to cracking jokes when discussing a sensitive, emotionally charged subject. Today, the client remains focused on the subject
Which of the following therapeutic communication techniques would MOST appropriately encourage the client to continue to explore new ideas or issues in more depth? a. "Let's review your progress so far and see what else seems to be an important issue to focus on today."
b. "Have you considered talking with your psychiatrist about increasing the dosage of your medication?"
c. "It's not like you to stay on topic. Usually you are pretty good at keeping the tone lighthearted or avoiding heavy topics."
d. "That sounds really important to you. Tell me more about this."
D
To have the client discuss an issue in more depth, the nurse would acknowledge that the topic is important to the client. The most effective way to achieve this is for the nurse to use the therapeutic communication technique of focusing. The other options avoid dealing with the client's feelings about the emotionally charged topic that is currently being discussed.
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