# Situation: A 29-year-old man with schizophrenia was admitted voluntarily to the psychiatric ward of a provincial hospital 3 days ago. He hears voices, stays in his room most of the day, and speaks a regional language at home; he is also fluent in Filipino and English. A nursing student is assigned to him and writes a process recording of each interaction. The client tells the student, "I did not sleep. The voices talked the whole night." The student answers, "The voices kept you awake all night." Which technique did the student use?

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=630046  
> language: ko  
> subject: Nursing Practice V — Care of Clients with Maladaptive Patterns of Behavior; Care of Clients with Life-Threatening Conditions, Acute Multi-Organ Problems, High Acuity and Emergency Situations

## 문제

Situation: A 29-year-old man with schizophrenia was admitted voluntarily to the psychiatric ward of a provincial hospital 3 days ago. He hears voices, stays in his room most of the day, and speaks a regional language at home; he is also fluent in Filipino and English. A nursing student is assigned to him and writes a process recording of each interaction.

The client tells the student, "I did not sleep. The voices talked the whole night." The student answers, "The voices kept you awake all night." Which technique did the student use?

## 보기

1. Summarizing
2. Focusing
3. Restating **✔ 정답**
4. Clarifying

**정답: 3**

## 해설

Restating repeats the main idea of what the client said, in nearly the same words, to show that the nurse is listening and to invite the client to go on. The student's reply adds no new meaning, asks no question, and does not steer the talk to a chosen topic.

## 심화 해설

Identifying the technique
The client says, "I did not sleep. The voices talked the whole night." The student answers, "The voices kept you awake all night." This is restating: the student repeats the main idea of what the client said, in nearly the same words, without adding new meaning. Restating shows that the nurse is listening and has understood, and it invites the client to continue. It is especially useful early in a relationship with a withdrawn client who hears voices, because it encourages him to keep talking without pressure.

How restating differs from similar techniques
Several therapeutic techniques sound alike. The key is what each one does with the client's message. Summarizing pulls together several main points, usually at the end of an interaction. Focusing narrows a scattered conversation to one chosen topic, for example, "Let's talk more about the voices." Clarifying asks the client to explain a vague or confusing message, for example, "What do you mean by talked?" Reflecting returns the feeling behind the words, for example, "You sound exhausted." The student's reply adds no feeling, asks no question, and does not steer the conversation, so it is restating.

| Technique | What it does | Example |
| --- | --- | --- |
| Restating | Repeats the main idea | "The voices kept you awake all night." |
| Reflecting | Returns the feeling | "You sound worn out by the voices." |
| Clarifying | Asks for more detail | "What did the voices say?" |
| Focusing | Narrows to one topic | "Let's talk more about the voices." |
| Summarizing | Reviews several main points | "Today we talked about sleep and the voices." |

Why it matters in a process recording
A process recording lets the student and clinical instructor examine each exchange, name the technique used, and judge whether it was therapeutic. Correctly labeling techniques helps students choose responses deliberately. Here restating is therapeutic because it acknowledges the client's experience without arguing about the voices or reinforcing them, and it leaves room for the nurse to follow with questions about how the voices affect him.

Watch out! Restating too often can sound mechanical, like parroting. It works best combined with other techniques, such as following with an open-ended question or reflecting the feeling.

Exam takeaway
Key point! Restating repeats the client's main idea; reflecting returns the feeling; clarifying asks; focusing narrows; summarizing reviews. Identify the technique by what the nurse's reply does, not by how it sounds.

## 임상 시나리오

RestatingNaming the technique in a process recording
Restating repeats the main idea of the client's message in nearly the same words. It shows listening and invites him to go on.

"The voices kept you awake all night" adds no new feeling or question and does not steer the talk, so it is restating, not reflecting, clarifying, or focusing.

Combine restating with open-ended questions so it does not sound mechanical.

CautionSummarizing covers several points, usually at the end of a session, not a single statement just made.

## 핵심 개념

- **Restating** — A therapeutic technique that repeats the main idea of the client's message to show listening.
- **Reflecting** — A technique that returns the feeling the client expressed so the client can examine it.
- **Clarifying** — A technique that asks the client to explain a vague or unclear message.
- **Process recording** — A written account of a nurse-client interaction used to analyze communication techniques.

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