Therapeutic Relationships

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Which therapeutic communication technique is being used in this nurse-client interaction? Client: “When I get angry, I get into a fistfight with my wife, or I take it out of the kids.” Nurse: “I notice that you are smiling as you talk about this physical violence.” *

1 poin

Exploring

Making observations

Encouraging comparison

Formulating a plan of action

A student nurse exhibits the following behaviors or actions while interacting with her patient. Which of these are appropriate as part of a therapeutic relationship?

1 poin

Sitting attentively in silence with a withdrawn patient until th patient chooses to speak.

Offering the patient advice on how he could cppe more effectively with stress.

Controlling the pace of the relationship by selecting topics for each interaction.

Limiting the discussion of termination issues so as not to sadded the patient unduly.

Batalkan pilihan

A nurse is assessing a client diagnosed with schizophrenia for the presence of hallucinations. Which therapeutic communication technique if used by the nurse is an example of making observations?

1 poin

“Please describe what you are seeing.”

“You appear to be talking to someone I do not see.”

“Why do you continually look in the corner of this room?”

“If you hum a tune, the voices may not be so distracting.”

Batalkan pilihan

A male patient frequently inquires about the female student nurse's boyfriend, social activities, and school experiences. Which of the following initial responses by the student best addresses the issue raised by this behavior?

1 poin

The student requests assignment to a patient of the same gender as the student.

She limits sharing personal information and stresses the patient-centered focus of the conversation.

She tells him that she will not talk about her personal life.

She explains that if he persists in focusing on her, she cannot work with him.

Batalkan pilihan

Which of the following refers to ideas that a person holds as true? *

1 poin

Beliefs

Attitudes

Values

Personal philosophy

A nurse maintains an uncrossed arm and leg posture. Which letter of the SOLER acronym for active listening is the nurse projecting?

1 poin

S (sit squarely)

O (Open posture)

L (Lean towards the other)

E (Eye contact)

Batalkan pilihan

What is the purpose of providing appropriate feedback to a client?

1 poin

To give the client good advice

To evaluate the client’s behavior

To give the client critical information

To advise the client on appropriate behaviors

Batalkan pilihan

Which therapeutic communication technique is being used in this nurse-client interaction? Client: “When I am anxious, the only thing that calms me down is alcohol.” Nurse: “Other than drinking, what alternatives have you explored to decrease anxiety?”

1 poin

Reflecting

Giving recognition

Making observations

Formulating a plan of action

Batalkan pilihan

Which of the following actions best represents the basis or foundation of all other psychiatric nursing care?

1 poin

The nurse assessess the patient at regular intervals.

The nurse administers psychotropic medications.

The nurse spends time sitting with a withdrawn patient.

The nurse participates in team meetings with other professionals.

Batalkan pilihan

Nurse P is interviewing a newly admitted psychiatric client. Which nursing statement is an example of offering a “general lead”? *

1 poin

“Yes, I see. Go on.”

“Do you know why you are here?”

“Are you feeling depressed or anxious?”

“Can you chronologically order the events that led to your admission?”

A nurse states to a client, “Things will look better tomorrow after a good night’s sleep.” Which communication technique is used by the nurse?

1 poin

The therapeutic technique of “defending”

The therapeutic technique of “giving advice”

The nontherapeutic technique of “presenting reality”

The nontherapeutic technique of “giving false reassurance”

Batalkan pilihan

After assertiveness training, a formerly passive client appropriately confronts a peer in group therapy. The group leader states, “I’m so proud of you for being assertive. You are so good!” Which communication technique has the leader employed?

1 poin

The nontherapeutic technique of giving approval

The nontherapeutic technique of interpreting

The therapeutic technique of presenting reality

The therapeutic technique of making observations

Batalkan pilihan

When is building trust important in the nurse-client relationship? *

1 poin

The problem identification subphase of the relationship

The exploitation subphase of the relationship

The orientation phase of the relationship

All phases of the relationship

Which therapeutic communication technique is being used in this nurse-client interaction? Client: “My father spanked me often.” Nurse: “Your father was a harsh disciplinarian.”

1 poin

Focusing

Accepting

Restatement

Offering general leads

Batalkan pilihan

The client tells the nurse " My biggest problem right now is trying to deal with a divorce. I didn't want a divorce and I still don't. But it is happening anyway!" Which of the following responses by the nurse will convey empathy? *

1 poin

Can you tell me about it?

You must be devastated

I'm so sorry. No wonder you're upset.

Sounds like it has been a difficult time.

A client diagnosed with post-traumatic stress disorder is admitted to an inpatient psychiatric unit for evaluation and medication stabilization. Which therapeutic communication technique if used by the nurse is an example of a broad opening?

1 poin

“What occurred prior to the rape, and when did you go to the emergency department?”

“What would you like to talk about?”

“I notice you seem uncomfortable discussing this.”

“How can we help you feel safe during your stay here?”

Batalkan pilihan

An instructor is correcting a nursing student’s clinical worksheet. Which statement, if given by the instructor, is the BEST example of effective feedback?

1 poin

“Why did you use the client’s name on your clinical worksheet?”

“You were very careless to refer to your client by name on your clinical worksheet.”

“Surely you didn’t do this deliberately, but you breached confidentiality by using the client’s name.”

“It is disappointing that after being told, you’re still using client names on your worksheet.”

Batalkan pilihan

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