After assertiveness training, a formerly passive client appropriately confronts a peer in group therapy. The group leader states, Im so proud of you for being assertive. You are so good! Which communication technique has the leader employed?

Correct Answer: A

Rationale: The leader's statement, "I'm so proud of you for being assertive. You are so good," involves giving approval, which is a nontherapeutic communication technique. Giving approval can create a dynamic in which the client seeks validation and approval from the leader rather than focusing on their own growth and progress. In a therapeutic setting, it is essential for the leader to maintain a neutral and nonjudgmental stance, providing support and guidance without reinforcing dependency on external validation.

Correct Answer: C

Rationale: Option C, "I notice you are wearing a new dress and you have washed your hair," is a good example of the therapeutic communication technique of giving recognition. This statement acknowledges and compliments the patient for their efforts in taking care of themselves. It shows that the nurse is observant and caring, which can help build rapport and strengthen the nurse-patient relationship. Giving recognition in this way can also boost the patient's self-esteem and provide a positive interaction that fosters trust and openness.

Correct Answer: D

Rationale: Option D, "You mentioned your relationship with your father. Let's discuss that further," is a good example of the therapeutic communication technique of focusing. Focusing involves bringing attention to a specific topic or issue that the individual has raised. In this statement, the nurse is acknowledging what the person mentioned about their relationship with their father and is directing the conversation towards exploring that topic in more depth. This can help the individual delve deeper into their feelings and thoughts related to the specific issue, fostering a more meaningful and therapeutic conversation.

Correct Answer: D

Rationale: The most appropriate nursing response would be to have the client describe what happened during the visit with her husband. This open-ended question allows the client to provide details about the encounter, which can help the nurse assess the situation accurately. By listening to the client's account of the events, the nurse can gather important information such as the context, severity, and frequency of the husband's behavior. This will help the nurse to better understand the situation and provide appropriate support and guidance to the client.

Correct Answer: B

Rationale: The client talking about personal accomplishments to gain attention is displaying the individual role of a recognition seeker within the therapeutic group. Recognition seekers often seek attention and approval from others by focusing on themselves, their achievements, or their experiences. This behavior can detract from the therapeutic process and group dynamics, as the focus shifts to the individual rather than the group as a whole. It is important for the nurse to identify this role and address it appropriately to ensure the group remains focused on therapeutic goals and mutual support among group members.