An adolescent who is pregnant asks the nurse on the psychiatric unit, "Do you think I should give my baby up for adoption?" Which of the following responses best reflects the nurse's empathy?
1. "Why would you want to give the baby up for adoption?"
2. "What do you feel would be the best thing for you to do?"
3. "It seems you will feel guilty if you gave your baby away."
4. "It would probably be best for you and the baby."
2
Rationale: Asking a question that helps the client focus on her feelings conveys the nurse's willingness to be with the client and understand the client's inner experience. Telling the client what would be best is giving advice. Asking the client why she would give up the baby does not convey the nurse's interest in the client's experience and limits therapeutic communication. Telling the client that she will feel guilty assumes an understanding of the client's feelings before the nurse has taken the time to explore the client's experience.
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