A nurse is communicating with a client who was just admitted for treatment of a substance use disorder. Which of the following communication techniques should the nurse identify as a barrier to therapeutic communication?

A. "If you don't participate in your care, you will not get better." This statement is not therapeutic as it may be perceived as judgmental or coercive. It could further discourage the client, especially if they are struggling with motivation due to depression.
B. "You can remain in bed until you feel well enough to join the group." While this response shows empathy, it might inadvertently reinforce the client's avoidance behavior and contribute to further isolation. It is generally more beneficial to encourage gradual participation rather than allowing complete withdrawal.
C. "I will assist you in getting out of bed and getting dressed." This option is appropriate because it offers support and encouragement in a gentle, non-coercive manner. Assisting the client in small steps can help them overcome inertia and begin to participate more actively in their care.
D. "The unit rules state that clients may not remain in bed." This approach is likely to be perceived as rigid and punitive. It does not address the client’s emotional state or offer support, which is crucial for someone struggling with depression.

A. Disclose some personal information to the client: Disclosing personal information is not appropriate and may not help in building trust.
B. Wait for the client to initiate interactions with the nurse. This approach might prolong the establishment of trust and rapport.
C. Set aside short, frequent times each day to spend with the client. Regular, consistent interaction helps build trust and establish a relationship.
D. Tell the client he reminds the nurse of her father. Making personal comparisons can be inappropriate and may not be helpful in building a professional relationship.