Question

The nurse is using therapeutic communication to establish rapport. The nurse says, 'How are you feeling this morning?' Which nonverbal behavior is congruent with the nurse's verbal question?

1) Looks at the patient; stands with a relaxed body position
2) Nods head up and down; arms folded across chest
3) Smiles at patient and makes the bed while patient answers
4) Adjusts the IV and evaluates equipment and environment

Answer 1

The nonverbal behavior congruent with the nurse's verbal question, "How are you feeling this morning?" is 3) Smiles at the patient and makes the bed while the patient answers.

Step-by-step explanation:

Smiling at the patient and engaging in a nonintrusive activity like making the bed while waiting for the patient's response is congruent with the therapeutic communication technique. This nonverbal behavior communicates warmth, attentiveness, and a willingness to listen without imposing on the patient. It creates a supportive environment that encourages the patient to express their feelings openly.

Maintaining a relaxed and open body position, as seen in option 1, is generally positive in therapeutic communication. However, actively engaging in a task while showing a warm and friendly expression, as in option 3, adds an extra layer of comfort and approachability. Options 2 and 4, with folded arms and adjusting equipment, respectively, may convey a lack of openness or attentiveness, potentially hindering the establishment of rapport.

In summary, option 3 best aligns with therapeutic communication principles by combining a friendly smile with a nonintrusive task, fostering a comfortable atmosphere for the patient to share their feelings.