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NCLEX Therapeutic Communication Questions and Answers | Latest Version | 2025/2026 | Correct & Verified
A client says, "I don’t want to live anymore." What is the nurse’s best initial response?
- "You have so much to live for."
- "Why do you feel this way?"
- "You shouldn’t think like that."
✔✔ C. "I’m here with you. Can you tell me what’s making you feel this way?"
When a client is crying during the interview, which response is most appropriate?
- "Stop crying, it’s not that bad."
- "Try to be strong."
- "You need to calm down."
✔✔ B. "It’s okay to cry. I’m here for you."
A client says, “No one cares about me.” What is the most therapeutic response?
- "That’s not true."
✔✔ B. "It sounds like you’re feeling very lonely right now." 1 / 4
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- "You have family who love you."
- "Don’t say that."
The nurse asks a client, “How are you feeling today?” The client remains silent. What should the nurse do?
- Repeat the question louder.
- Change the topic.
- Ask someone else to answer.
✔✔ C. Allow silence and wait patiently.
Which response demonstrates **clarifying** when a client says, “I’m upset about what happened”?
- "What exactly upset you?"
- "You seem angry."
- "Don’t worry about it."
✔✔ C. "Tell me more about what happened that upset you."
What is the nurse demonstrating by saying, “You seem anxious today”?
- Advising 2 / 4
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- Confronting
- Judging
✔✔ C. Making an observation
When a client states, “I don’t think I can handle this,” the nurse replies:
- "You have to be strong."
- "Why can’t you handle it?"
- "Everyone feels that way sometimes."
✔✔ C. "It sounds like this is overwhelming for you. Tell me more."
Which technique is the nurse using when repeating the client’s last words?
- Summarizing
- Reflecting
- Paraphrasing
✔✔ B. Restating
A client asks, “Do you think I’m crazy?” What is the nurse’s best response?
- "No, you’re not crazy." 3 / 4
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- "Why would you say that?"
- "You’re just stressed."
✔✔ C. "What makes you feel that way?"
A client says, “I’m scared of this procedure.” What should the nurse say?
- "Don’t be scared. It’s routine."
- "You have to trust us."
- "There’s nothing to worry about."
✔✔ C. "It’s normal to feel scared. What worries you the most?"
The nurse says, “Let’s talk about your feelings.” This is an example of:
- Advising
- Defending
- Giving approval
✔✔ C. Encouraging expression
Which response reflects **empathy** best?
- "You must be very sad."
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