The nurse is teaching the client about weight management, and the client wants to know how the nurse manages to stay "so thin.". Which response should the nurse use to maintain therapeutic communication?
1. State that nurses cannot discuss personal information with clients
2. Describe a daily routine of walking the family's dog to the local park
3. Recognize the question and redirect the discussion to weight management
4. Explain the client needs a background in health care to use the nurse's plan
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3. After acknowledging the client's question, the nurse redirects the conversation to weight management because therapeutic communication is client centered and goal oriented; however, the communication and the goal do not involve personal details about nurse because therapeutic communication is not social conversation.
1. To convey respect and consideration, the nurse avoids a blunt statement about professional boundaries; besides, stating the nurse cannot divulge personal information keeps the focus on the nurse.
2. Describing a daily routine reveals personal information that belies the nurse-client relationship.
4. Telling the client a health care background is needed to implement the nurse's plan is condescending and conveys a lack of respect.
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