A client who has diabetes mellitus is admitted to the hospital for a foot ulcer. The client tells the nurse that they have been feeling depressed and hopeless about their condition. Which of the following responses by the nurse demonstrates therapeutic communication?

The nurse demonstrates therapeutic communication by using an open-ended statement that invites the client to express their feelings and concerns. The nurse also shows empathy, respect, and genuineness by offering to listen attentively.

Incorrect options:

A) "You should be more optimistic. Things could be worse." - This is a nontherapeutic response that minimizes the client's feelings and implies that the client is wrong or ungrateful for feeling depressed and hopeless.

B) "Why do you feel depressed and hopeless? You have a lot to live for." - This is a nontherapeutic response that uses a closed-ended question that can make the client feel defensive or guilty for feeling depressed and hopeless. The nurse also makes an assumption about the client's life without exploring their perspective.

C) "I understand how you feel. I have a family member who has diabetes too." - This is a nontherapeutic response that uses false reassurance and self-disclosure that can shift the focus away from the client and their feelings.

The nurse reflects the use of empathy by recognizing and validating the spouse's feelings and situation, without judging or offering advice.

Incorrect options:

A) "You have been doing a great job caring for your spouse. You deserve some time for yourself." - This is a statement that reflects the use of praise, which can be helpful in some situations, but does not demonstrate empathy or address the spouse's feelings of guilt.

B) "You should not feel guilty for wanting some time for yourself. It is normal to feel that way." - This is a statement that reflects the use of reassurance, which can be counterproductive in some situations, as it can minimize or dismiss the spouse's feelings of guilt.

D) "You need to take care of yourself too. Have you considered respite care or hospice services?" - This is a statement that reflects the use of information, which can be beneficial in some situations, but does not demonstrate empathy or explore the spouse's feelings or needs.