Comprehensive exams for Mental Health Q 119


Which nursing statement is a good example of the therapeutic communication technique of focusing?
  
     A. "Describe one of the best things that happened to you this week."
     B. "I'm having a difficult time understanding what you mean."
     C. "Your counseling session is in 30 minutes. I'll stay with you until then."
     D. "You mentioned your relationship with your father. Let's discuss that further."
    
    

Correct Answer: D. “You mentioned your relationship with your father. Let’s discuss that further.”
This is an example of the therapeutic communication technique of focusing. Focusing takes notice of a single idea or even a single word and works especially well with a client who is moving rapidly from one thought to another. Sometimes during a conversation, patients mention something particularly important. When this happens, nurses can focus on their statement, prompting patients to discuss it further. Patients don’t always have an objective perspective on what is relevant to their case; as impartial observers, nurses can more easily pick out the topics to focus on.
Option A: Therapeutic communication is often most effective when patients direct the flow of conversation and decide what to talk about. To that end, giving patients a broad opening such as “What’s on your mind today?” or “What would you like to talk about?” can be a good way to allow patients an opportunity to discuss what’s on their mind.
Option B: Similar to active listening, asking patients for clarification when they say something confusing or ambiguous is important. Saying something like “I’m not sure I understand. Can you explain it to me?” helps nurses ensure they understand what’s actually being said and can help patients process their ideas more thoroughly.
Option C: Hospital stays can be lonely, stressful times; when nurses offer their time, it shows they value patients and that someone is willing to give them time and attention. Offering to stay for lunch, watch a TV show, or simply sit with patients for a while can help boost their mood.