Therapeutic Comm Q 24
A client diagnosed with post-traumatic stress disorder is admitted to an inpatient psychiatric unit for evaluation and medication stabilization. Which therapeutic communication technique used by the nurse is an example of a broad opening?
A. "What occurred prior to the rape, and when did you go to the emergency department?"
B. "What would you like to talk about?"
C. "I notice you seem uncomfortable discussing this."
D. "How can we help you feel safe during your stay here?"
Correct Answer: B. “What would you like to talk about?”
The nurse’s statement, “What would you like to talk about?” is an example of the therapeutic communication technique of giving broad openings. Using a broad opening allows the client to take the initiative in introducing the topic and emphasizes the importance of the client’s role in the interaction.
Option A: Placing events in time or sequences refers to clarifying the relationship of events in time. Putting events in proper sequence helps both the nurse and the client to see them in perspective. The client may gain insight into cause-and-effect behavior and consequences.
Option C: Making observations refers to verbalizing what the nurse perceives. For example, the nurse says, “You appear tense.” or “I notice you are biting your lip.” Sometimes clients cannot verbalize or make themselves understood. Or the client may not be ready to talk.
Option D: Theme identification allows the nurse to identify underlying issues and problems experienced by the client that emerge repeatedly during a nurse-client relationship. It allows the nurse to best promote the client’s exploration and understanding of important problems.