A client states that she is unhappy and miserable in her marriage and has been for several years. Which of the following responses indicates the nurse is tuning in to the process of the client's interaction rather than the content?
1. "Do you have any children from this marriage?"
2. "How long have you been married?"
3. "It sounds like you have been miserable for quite some time."
4. "Has your husband ever cheated on you?"
3
Rationale: Tuning in to the process involves paying attention to verbal and non-verbal cues to identify and respond to client "themes." Acknowledging the client's misery is one way to respond to client "themes." Asking related questions about the marriage such as duration of the marriage, number of children, or possible infidelity are all examples of responding to the content of the interaction. The answers to these questions are not as important in process as encouraging the client to explore her feelings in this relationship.
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