NursingNursing Fundamentals

Therapeutic Communication: Clarifying Mr. Padilla’s Response

Compare four nursing responses and learn why asking Mr. Padilla to clarify an ambiguous statement is the therapeutic choice.

Question

Mr. Padilla is a 62-year-old male patient. The nurse goes to give him medication and asks him how he is doing. Mr. Padilla responds, “Well, my head is all messed up since they gave me those test results yesterday.” What would be a therapeutic response from the nurse?

A. “Oh, I’m sure everything is going to be okay! Why don’t you call your wife?”

B. “Have you tried distracting yourself? You could watch TV or do some exercises.”

C. “Did you not sleep very well last night?”

D. “I’m sorry, but I don’t understand what you mean. Can you explain?”

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Evidence boundary

This is the four-option Mr. Padilla question from OpenStax Clinical Nursing Skills, Chapter 3, Review Question 4. The prompt gives his age and words but no diagnosis, actual test result, or subsequent response. The answer identifies the best communication response among these options; it does not invent an assessment finding or predict the patient’s outcome.