"I notice it has been a while since you have had a shower." Show
Stating, "I notice it has been a while since you have had a shower," is the correct option. Making an observation helps the nurse verbalize what is perceived. This is therapeutic because sometimes a client may not be able to verbalize or make themselves understood. Stating, "I think you need to take a shower," would be a nontherapeutic statement. This is called advising and entails telling the client what to do, communicating the the nurse knows what is best for the client. Stating, "Don't worry, take as long as you need before you get going," denotes reassuring by the nurse. By saying this, the nurse is communicating that this is not a problem despite the fact that the client is approaching the nurse for support in problem solving. By asking, "Why haven't you taken a shower?" the nurse is requesting an explanation. This is intimidating and the client is likely to become defensive or feel judged and vulnerable. Needs to enhance feelings of security Healthcare setting, conference room, or quiet part of the unit with relative privacy in view of others At home offers chance to see everyday life Walking and talking eases discomfort and depressive s/s Which therapeutic communication technique is being used in this nurse-client interaction? A. Encouraging comparison ANS: D Which therapeutic communication technique is being used in this nurse-client interaction? A. Restatement ANS: A Which therapeutic communication technique is being used in this nurse-client interaction? A. Reflecting ANS: C The nurse is interviewing a newly admitted psychiatric client. Which nursing statement is an example of offering a "general lead"? A. "Do you know why you are here?" ANS: C 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? A. The therapeutic technique of "giving advice" ANS: D 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? A. "What occurred prior to the rape, and when did you go to the emergency department?" ANS: B 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? A. "You appear to be talking to someone I do not see." ANS: A A nurse maintains an uncrossed arm and leg posture. This nonverbal behavior is reflective of which letter of the SOLER acronym for active listening? A. S ANS: B An instructor is correcting a nursing student's clinical worksheet. Which instructor statement is the best example of effective feedback? A. "Why did you use the client's name on your clinical worksheet?" ANS: C 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? A. The nontherapeutic technique of giving approval ANS: A What is the purpose of a nurse providing appropriate feedback? A. To give the client good advice ANS: D 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? A. "Why do
you continue to alienate your peers by your angry outbursts?" ANS: D 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? A. "It would be best to do
that in order to increase independence." ANS: C When interviewing a client, which nonverbal behavior should a nurse employ? A. Maintaining indirect eye contact with the client ANS: C 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? A. "The smoke was too thick. You couldn't have gone back in." ANS: B 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? A. "Everyone
diagnosed with OCD needs to control their ritualistic behaviors." ANS: D Which example of a therapeutic communication technique would be effective in the planning phase of the nursing process? A. "We've discussed past coping skills. Let's see if these coping skills can be effective
now." ANS: A 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? A. "It's quite common for clients to feel that way after a lengthy hospitalization." ANS: D A client's younger daughter is ignoring curfew. The client states, "I'm afraid she will get pregnant." The nurse responds, "Hang in there. Don't you think she has a lot to learn about life?" This is an example of which communication block? A. Requesting an explanation ANS: C Which nursing statement is a good example of the therapeutic communication technique of giving recognition? A. "You did not attend group today. Can we talk about that?" ANS: C A client is struggling to explore and solve a problem. Which nursing statement would verbalize the implication of the client's actions? A. "You seem to be motivated to change your behavior." ANS: A The nurse asks a newly admitted client, "What can we do to help you?" What is the purpose of this therapeutic communication technique? A. To reframe the client's thoughts about mental health treatment ANS: C 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? A.
"It's scary to feel put on the spot by a client. Nurses don't always have the answer." ANS: B A student nurse is learning about the appropriate use of touch when communicating with clients diagnosed with psychiatric disorders. Which statement by the instructor best provides information about this aspect of therapeutic communication? A. "Touch carries a different meaning for different individuals." ANS: A Which nursing statement is a good example of the therapeutic communication technique of focusing? A. "Describe one of
the best things that happened to you this week." ANS: D 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? A. "Do you believe that I was the cause of your blood test being canceled?" ANS: B During a nurse-client interaction, which nursing statement may belittle the client's feelings and concerns? A. "Don't worry. Everything
will be alright." ANS: A 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? A. "How would your family feel if you died?" ANS:
C Which nursing response is an example of the nontherapeutic communication block of requesting an explanation? A. "Can you tell me why you said that?" ANS: A 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? A. "Does your husband treat you like this very often?" ANS: D Which therapeutic communication technique should the nurse use when communicating with a client who is experiencing auditory hallucinations? A. "My sister has the same diagnosis as you and she also hears voices." ANS: B Which nursing statement is a good example of the therapeutic communication technique of offering self? A. "I think it would be great if you talked about that problem during our next group session." ANS: B A client slammed a door on the unit several times. The nurse responds, "You seem angry." The client states, "I'm not angry." What therapeutic communication technique has the nurse employed and what defense mechanism is the client unconsciously demonstrating? A. Making observations and the defense mechanism of suppression ANS: B Which of the following individuals are communicating a message? (Select all that apply.) A. A mother spanking her son for playing with matches ANS: A, B, C, D What techniques are involved when using clarifying techniques during communication with the client?To clarify the message, the nurse can restate the basic message or confess confusion and ask the client to repeat or restate the message. Nurses can also clarify their own message with statements.. Attentive listening.. Reflecting.. Empathizing.. Paraphrasing.. Which nursing response is an example of the nontherapeutic communication technique of requesting an explanation?D. "Are you not understanding the explanation I provided?" This nursing statement is an example of the nontherapeutic communication block of requesting an explanation. Requesting an explanation is when the client is asked to provide the reason for thoughts, feelings, behaviors, and events.
Which techniques are used to verify the nurses interpretation of a patient's verbal communication quizlet?Restating, exploring, reflecting, and paraphrasing are used to verify the nurse's interpretation of a patient's verbal communication.
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.
|