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NCLEX questions therapeutic communication Leave the first rating Students also studied Terms in this set (20) Save
Growth and Development: NCLEX Q...
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NCLEX Review: Mental Health
28 terms MsColorsoftheWind Preview Nurse Labs - Nursing Process NCLE...25 terms Gary_Rhinehart Preview Milesto 44 terms trbu A patient with a diagnosis of major depression who has attempted suicide says to the nurse, "I should have died!I've always been a failure. Nothing ever goes right for me." Which response demonstrates therapeutic communication?A "You have everything to live for." B "Why do you see yourself as a failure?" C "Feeling like this is all part of being depressed."
- "You've been feeling like a failure for a while?"
- "You're having difficulty sleeping?"
- "You're having difficulty sleeping?"
D . "You've been feeling like a failure for a while?" When the community health nurse visits a patient at home, the patient states, "I haven't slept the last couple of nights." Which response by the nurse illustrates a therapeutic communication response to this patient.A "I see." B "Really?"
D "Sometimes, I have trouble sleeping too."
A patient experiencing disturbed thought processes believes that his food is being poisoned. Which communication technique should the use to encourage the patient to eat?A Using open-ended questions and silence B Sharing personal preference regarding food choices C Documenting reasons why the patient does not want to eat D Offering opinions about the necessity of adequate nutrition A Using open-ended questions and silence
A patient admitted to a mental health unit for treatment of psychotic behavior spends hours at the locked exit door shouting. "Let me out. There's nothing wrong with me. I don't belong here." What defense mechanism is the patient implementing?A Denial B Projection C Regression D Rationalization A Denial A patient diagnosed with terminal cancer says to the nurse "I'm going to die, and I wish my family would stop hoping for a cure! I get so angry when they carry on like this. After all, I'm the one who's dying." Which response by the nurse is therapeutic?A "Have you shared your feelings with your family?" B "I think we should talk more about your anger with your family." C "You're feeling angry that your family continues to hope for you to be cured?" D "You are probably very depressed, which is understandable with such a diagnosis." C "You're feeling angry that your family continues to hope for you to be cured?" On review of the patient's record, the nurse notes the admission was voluntary. Based on this information, the nurse anticipates which patient behavior?A Fearfulness regarding treatment measures.B Anger and aggressiveness directed toward others.C An understanding of the pathology and symptoms of the diagnosis.D A willingness to participate in the planning of the care and treatment plan.D A willingness to participate in the planning of the care and treatment plan.The nurse employed in a mental health clinic is greeted by a neighbor in a local grocery store. The neighbors says to the nurse, "How is Mary doing? She is my best friend and is seen at your clinic every week." Which is the MOST APPROPRIATE nursing response?A "I can not discuss any patient situation with you." B "If you want to know about Mary, you need t ask her yourself." C "Only because you're worried about a friend, I'll tell you that she is improving." D "Being her friend, you know she is having a difficult time and deserves her privacy." A "I can not discuss any patient situation with you."
The nurse in the mental health unit recognizes which of the following as therapeutic communication techniques?Select all that apply.A Restating B Listening C Asking the patient "Why?" D Maintaining neutral responses E Providing acknowledgment and feedback F Giving advice and approval or disapproval ABDE 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 on
the kids." Nurse: "I notice that you are smiling as you talk
about this physical violence." A Encouraging comparison B Exploring C Formulating a plan of action D Making observations D making observations Ssitting squarely facing the client (S) Oopen posture when interacting with the client (O) Lleaning forward toward the client (L) Eestablishing eye contact (E) Rrelaxing (R) What is the purpose of a nurse providing appropriate feedback?A To give the client good advice B To advise the client on appropriate behaviors C To evaluate the client's behavior D To give the client critical information D The purpose of providing appropriate feedback is to give the client critical information. Feedback should not be used to give advice or evaluate behaviors.
The nonverbal communication that expresses emotion is:
A Body positioning.B Eye contact.C Facial expressions.D Cultural artifacts.C facial expressions
The use of facial expressions and gestures communicates:
A Personality traits.B Interest in, and attraction to, another person.C Rejection.D Emotions.D emotions
Which of the following is an example of a therapeutic communication technique? Choose all that apply.
- Listening
- Restating
- Giving advice
- Reflecting
- Clarifying
- Challenging
- Defending
- Focusing
- Paraphrasing
- Disapproving
- Ask her open-ended questions.
- Give her paper and crayons.
- Ask her family for help.
- Consult the staff psychologist.
abde Giving advice is nontherapeutic and can serve as a barrier to communicating with patients. The other listed techniques are considered to be therapeutic.Which of the following is an example of a nontherapeutic communication technique? Choose all that apply.
abe Focusing and paraphrasing are therapeutic communication techniques. The other techniques are considered to be nontherapeutic.You are the nurse assigned to care for a 4-year-old child who was involved in an automobile accident. She is withdrawn and is not communicating readily with the staff. What strategy can you use to interact with her?
B give her paper and crayons
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