The nurse shows an understanding of an essential purpose of therapeutic communication when (select all that apply):
a. Asking the patient, "How did it make you feel when your son died?"
b. Encouraging the patient to assume responsibility for the problems he or she has
c. Attentively listening as the patient describes the reasons he or she is seeking help
d. Providing the patient with feedback regarding how he or she is implementing stress relief techniques
e. Sharing with the patient the details of several extremely stressful personal events and how they were managed
ANS: A, C, D
Therapeutic communication has three essential purposes: (1) to allow the patient to express thoughts, feelings, behaviors, and life experiences in a meaningful way to promote healthy growth; (2) to understand the significance of the patient's problems and the roles that the pa-tient and the significant people in his or her life play in perpetuating those problems; and (3) to assist with the identification and resolution processes of the patient's health-related be-haviors. Encouraging the patient to assume responsibility for his or her problems may not be appropriate in all cases and it is not appropriate for the nurse to share personal information even if it relates to a problem similar to the patient's.
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