A mental health home care nurse says to the client, 'Do you feel ready to try attending a group session at the clinic?' The client shakes his head. Which nursing statement would be therapeutic?

• A. You should try group therapy regardless of readiness.
• B. You seem to be saying no. Would you tell me more about your reluctance?
• C. If you don't attend, you'll be discharged.
• D. Just try it once; it won't hurt.

Answer: (B)

The main concept is therapeutic communication that validates the client’s feelings, uses reflection, and invites open discussion about ambivalence without pressure. In this scenario, reflecting the client’s stance with “You seem to be saying no” and then asking an open-ended question, “Would you tell me more about your reluctance?” shows empathy, reduces defensiveness, and gives the client control over sharing concerns. This helps uncover specific fears or barriers to attending group sessions and supports collaborative problem-solving. The other approaches push or threaten the client, or dismiss concerns, which can erode trust and increase resistance.