The student nurse reviewing process recordings reflects on the statement to a patient
1. 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? Show
2. 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. 3. 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? 4. 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? 5. 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? 6. On review of the patient's record, the nurse notes the admission was
voluntary. Based on this information, the nurse anticipates which patient behavior? 7. 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? 8. Which statement demonstrates the BEST understanding of the nurse's role regarding ensuring that each client's rights are respected? 9. 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." 10. 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." 11. Nurse Patrick is interviewing a newly
admitted psychiatric client. Which nursing statement is an example of offering a "general lead"? 12. A nurse states to a client, "Things will look better tomorrow after a good night's sleep." This is an example of which communication technique? 13. A client diagnosed with post-traumatic stress disorder is admitted to an inpatient psychiatric unit for evaluation and medication stabilization. Which therapeutic communication technique used by the nurse is an example of a broad opening? 14. A nurse is assessing a client diagnosed with schizophrenia for the presence of hallucinations. Which therapeutic communication technique used by the nurse is an example of making observations? 15. A client who frequently exhibits angry outbursts is diagnosed with antisocial personality disorder. Which appropriate feedback should a nurse provide when this client experiences an angry outburst? 16. A client diagnosed with dependant personality disorder states, "Do you think I should move from my parent's house and get a job?" Which nursing response is most
appropriate? 17. When interviewing a client, which nonverbal behavior should a nurse employ? 18. A mother rescues two of her four children from a house fire. In the emergency department, she cries, "I should have gone back in to get them. I should have died, not them." What is the nurse's best response? 19. A newly admitted client diagnosed with obsessive-compulsive disorder (OCD) washes hands continually. This behavior prevents unit activity attendance. Which nursing statement best addresses this situation? 20. Which example of a therapeutic communication technique would be effective in the planning phase of the nursing process? 21. A client tells the nurse, "I feel bad because my mother does not want me to return home after I leave the hospital." Which nursing response is therapeutic? 22. Which nursing statement is a good example of the therapeutic communication technique of giving recognition? 23. A client is struggling to explore and solve a problem. Which nursing statement would verbalize the implication of the client's actions? 24. A student nurse tells the instructor, "I'm concerned that when a client asks me for advice I won't have a good solution." Which should be the nursing instructor's best response? 25. Which nursing statement is a good example of the therapeutic communication technique of focusing? 26. After fasting from 10 p.m. the previous evening, a client finds out that the blood test has been canceled. The client swears at the nurse and states, "You are incompetent!" Which is the nurse's best response? 27. During a nurse-client interaction, which nursing statement may belittle the client's feelings and concerns? 28. A client on an inpatient psychiatric unit tells the nurse, "I should have died because I am totally worthless." In order to encourage the client to continue talking about feelings, which should be the nurse's initial response? 29. Which nursing response is an example of the nontherapeutic communication block of requesting an explanation? 30. A client states, "You won't believe what my husband said to me
during visiting hours. He has no right treating me that way." Which nursing response would best assess the situation that occurred? 31. Which therapeutic communication technique should the nurse use when communicating with a client who is
experiencing auditory hallucinations? 32. Which nursing statement is a good example of the therapeutic communication technique of offering self? 33. A client with a history of major depression tells the nurse "I wish I weren't alive. I have been a failure my
entire life and I am totally useless to anyone." The most therapeutic response to the client is: 34. The nurse is completing the sexual history section of the admission assessment. The client tells the
nurse "I don't want to talk about this. This is private between my spouse and me." Which nurse response reflects empathy? 35. A patient recovering from a bilateral mastectomy for breast cancer tearfully
tells the nurse that she is feeling depressed and worthless as a woman. Which communication phrase is not effective? Which therapeutic communication technique is most appropriate for the nurse to use with a patient experiencing hallucination?Encouraging Descriptions of Perception. For patients experiencing sensory issues or hallucinations, it can be helpful to ask about them in an encouraging, non-judgmental way.
What benefit do openThis technique of nursing therapeutic communication is effective because it allows patients to direct the flow of the conversation. Open-ended questions require patients to put effort into their answers and offer more than a yes or no answer, which can help nurses get to the bottom of what is going on with them.
Which clarification technique should a nurse apply to learn more about the ideas and experiences of the patients?Which clarification technique should a nurse apply to learn more about the ideas and experiences of the patients? Exploring is a clarification technique of better understanding the ideas and experiences of a patient. The nurse encourages the patient to express his or her ideas clearly and in detail.
Which communication techniques should the nurse use with a patient who has been identified as having difficulty expressing thoughts and feelings?Which communication techniques should the nurse use with a client who has been identified as having difficulty expressing thoughts and feelings? Open-ended questions give the client the widest possible latitude in answering.
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