The nurse asks the client "What was it like for you when you first knew you had no place to go?" The client looks down and pauses for some time. What actions by the nurse is the most therapeutic?

A. "Your behavior will be disappointing to your provider." This statement is not helpful because it focuses on the feelings of the provider rather than addressing the behavior itself or its consequences for the client.
B. "I'm taking away your privileges for the rest of the week." This is a punitive response and does not address the immediate issue of the client's behavior. It is more important to address the behavior and its impact rather than imposing a punishment.
C. "Yelling at others is unacceptable." This statement directly addresses the behavior and sets a clear boundary. It is an appropriate way to communicate that the behavior is not acceptable.
D. "Why did you hit another client?" This question assumes the client hit another client, which might not be accurate and can escalate the situation. It’s better to address the observed behavior directly.

A. Giving information: This is actually a key component of therapeutic communication. It helps clients understand their situation and the care they are receiving, which can empower them and reduce anxiety.
B. Listening attentively: Active listening is fundamental to effective therapeutic communication.
C. Reflecting: Reflecting helps the client to explore their feelings and thoughts.
D. Offering advice: Offering advice can create a barrier because it may come across as judgmental or directive, rather than supportive. It can also undermine the client’s autonomy and ability to make their own decisions. Therapeutic communication focuses on listening, understanding, and reflecting the client’s feelings and experiences.