NCLEX questions therapeutic communication

NCLEX questions therapeutic communication 5.0 (1 review) Students also studied Terms in this set (83) Social SciencesPsychology Clinical Psychology Save NCLEX questions therapeutic comm...83 terms Sal13148Preview NCLEX Practice Questions for Foun...34 terms Skittles4ever99 Preview mental health exam 1 47 terms Lindsay_Renneisen Preview NCLEX 34 terms Cre 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'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?"

• "You're having difficulty sleeping?"

D "Sometimes, I have trouble sleeping too." "You're having difficulty sleeping?"

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 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 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." "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.A willingness to participate in the planning of the care and treatment plan.

A patient admitted voluntarily for treatment of an anxiety disorder demands to be released from the hospital.Which action should the nurse take INITIALLY?A Contact the patient's health care provider (HCP).B Call the patient's family to arrange for transportations.C Attempt to persuade the patient to stay for only a few more days.D Tell the patient that leaving would likely result in an involuntary commitment.Contact the patient's health care provider (HCP).When reviewing the admission assessment, the nurse notes that a patient was admitted to the mental health unity involuntarily. Based on this type of admission, the nurse should provide which intervention for this patient?A Monitor closely for harm to self or others.B Assist in completing an application for admission.C Supply the patient with written information about their mental illness.D Provide an opportunity for the family to discuss why they felt the admission was needed.Monitor closely for harm to self or others.The nurse is preparing a patient for the termination phase of the nurse-patient relationship. The nurse prepares to implement which nursing task that is MOST APPROPRIATE for this phase?A Planning short-term goals B Making appropriate referrals C Developing realistic solutions D Identifying expected outcomes Making appropriate referrals 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." "I can not discuss any patient situation with you."

The nurse calls security and has physical restraints applied when a client who was admitted voluntarily becomes both physically and verbally abusive while demanding to be discharged from the hospital. Which represents the possible legal ramifications for the nurse associated with these interventions? Select all that apply.A Libel B Battery C Assault D Slander E False Imprisonment B Battery C Assault E False Imprisonment LibelA written defamation of a person's character, reputation, business, or property rights.SlanderSpoken defamation batteryIllegal touching of another person assaultA threatened or attempted physical attack by someone who appears to be able to cause bodily harm if not stopped 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 A Restating B Listening D Maintaining neutral responses E Providing acknowledgment and feedback A patient being seen in the emergency department immediately after being sexually assaulted appears calm and controlled. The nurse analyzes this behavior as indicating which defense mechanism?A Denial B Projection C Rationalization D Intellectualization Denial A patient's unresolved feelings related to loss would be MOST LIKELY observed during which phase of the therapeutic nurse-patient relationship?A Trusting B Working C Orientation D Termination In the termination phase, the relationship comes to a close. Ending treatment sometimes may be traumatic for patients who have come to value the relationship and the help. Because loss is an issue, any unresolved feelings related to loss may resurface during this phase. The remaining options are not specifically associated with this issue of unresolved feelings.