Therapeutic Comm Q 33
The nurse is interviewing a newly admitted psychiatric client. Which nursing statement is an example of offering a general lead?
A. "Do you know why you are here?"
B. "Are you feeling depressed or anxious?"
C. "Can you chronologically order the events that led to your admission?"
D. "Yes, I see. Go on."
Correct Answer: D. “Yes, I see. Go on.”
The nurse’s statement, “Yes, I see. Go on.” is an example of the therapeutic communication technique of a general lead. Offering a general lead encourages the client to continue sharing information. It indicates that the nurse is listening and following what the client is saying without taking away the initiative for the interaction.
Option A: There is a difference between asking the client to describe what is occurring or has taken place and asking him to explain why. Usually, a “why” question is intimidating.
Option B: Interpreting refers to making conscious that which is unconscious to the client. The client’s thoughts and feelings are his own, not to be interpreted by the nurse or for hidden meaning. Only the client can identify or confirm the presence of feelings.
Option C: 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, or the client may be able to see that perhaps some things are not related.