Final answer:
The recommended therapeutic approach for Marcella Como, who refuses to see visitors, includes active listening, asking open-ended questions, seeking clarification, and summarizing the discussion to ensure effective communication.
Step-by-step explanation:
The recommended therapeutic approach for a scenario where Marcella Como refuses to see her husband or any visitors involves using therapeutic communication techniques. Among these, active listening is crucial as it ensures that the patient feels heard and understood. Asking open-ended questions can help facilitate conversation and allow for greater expression of feelings and thoughts. Moreover, it is important to seek clarification to avoid misunderstandings and ensure that the provider's interpretation of the patient's communication is accurate. Lastly, summarizing the discussion can help confirm that the patient's points have been accurately captured and allow for any necessary corrections or additions by the patient, solidifying the therapeutic relationship.