Which response demonstrates therapeutic communication when a dementia patient refuses medication?

• A. 'What\'s your reason?'
• B. 'You must take it now.'
• C. 'We\'ll discuss this later.'
• D. 'If you don\'t take it, you\'ll be in trouble.'

Answer: (A)

Engaging the patient with dementia in a way that invites cooperation and trust is key. Asking an open, nonjudgmental question like “What’s your reason?” encourages the person to express concerns about the medication, the effects, or the process. It respects autonomy, reduces Power struggles, and provides a platform to address specific worries—whether it’s fear of side effects, confusion about the purpose of the medication, or a preference for not taking pills. By listening to the patient’s explanation and responding empathetically, you can tailor the conversation, offer reassurance, and discuss alternatives or a plan that feels safer to them.

The other responses push for compliance or use fear, which can damage trust and escalate resistance. Telling someone to take it now dismisses their input; saying you’ll discuss it later postpones important issues and may leave concerns unresolved; threatening consequences fosters fear rather than collaboration. In dementia care, building rapport through this kind of open-ended question is the cornerstone of therapeutic communication.