During a therapy session an 11-year-old patient tells the psychiatric advanced practice nurse that he wants to leave. The nurse wants to understand what created this feeling. How might she respond to the patient's statement?
1. "Is there somewhere you want to go?"
2. "I guess you're upset about something."
3. "What happened to make you feel the need to leave?"
4. "Why don't you just sit down for a minute so we can talk some more?"
Answer: 3
Explanation: Asking about what happened acknowledges the patient's need, and using an open-ended question is more likely to elicit a meaningful response. Asking about where the patient may want to go pins him down and limits his responses. Suggesting that the patient is upset makes an assumption that closes off discussion. Suggesting that the patient stay and talk addresses the nurse's need without addressing the patient's need.
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