Which of the following responses demonstrates the nurse's approach when a patient requests nonmedical therapy (such as Reiki) during hospitalization?

• A. Nonmedical therapies are not allowed.
• B. Can you explain to me how you use Reiki?
• C. I can't discuss your therapy.
• D. We don't permit alternative practices.

Answer: (B)

Respecting patient autonomy and engaging in open, nonjudgmental communication is what this item is testing. When a patient requests nonmedical therapy during hospitalization, the best response is to invite them to describe how they use Reiki. This demonstrates that the nurse values the patient’s beliefs, supports shared decision-making, and creates a safe space to discuss how the therapy fits with the medical plan. By asking for details, the nurse can assess safety, potential interactions with treatments, and how the therapy might support the patient’s comfort and well-being, while coordinating with the broader care team if needed.

Other approaches shut down or dismiss the patient's interests, which can undermine trust and rapport. Saying nonmedical therapies aren’t allowed or that the therapy can’t be discussed closes the door to important conversations about the patient’s values and coping strategies. Saying the therapy isn’t permitted similarly imposes a blanket rule without understanding the patient’s needs.