Row 1
A nurse is communicating with a client on the acute mental health facility. The client states, "I can't
sleep. I stay up all night." The nurse responds, "You are having difficulty sleeping?" Which of the following
therapeutic communication techniques is the nurse demonstrating?
A. Offering General Leads
B. Summarizing
C. Focusing
D. Restating
Restating - Restating allows the nurse to repeat the main idea expressed
A nurse is caring for a client who is experiencing moderate anxiety. Which of the following is an
appropriate nursing intervention when trying to give necessary information to the client?
A. Reassure the client that everything will be okay.
B. Use a low-pitched voice and speak slowly.
C. Ignore the client's anxiety so that she will not be embarrassed.
D. Demonstrate a calm manner while using simple and clear language.
Giving information in a calm way will help the client grasp essential facts.
A nurse is communicating with a newly admitted client. Which of the following is a barrier to
therapeutic communication?
A. Offering advice
B. Reflecting meaning
C. Listening attentively
D. Giving information
A. Offering Advice - this is a barrier to therapeutic communication and should be avoided. Advice tends to interfere with the client's ability to make personal decisions and choices.
A nurse is talking with a client who is at risk for suicide following the death of his spouse. Which of the
following statements by the nurse is appropriate?
A. "I feel very sorry for the loneliness you must be experiencing."
B. "Suicide is not the appropriate way to cope with loss."
C. "Losing someone close to you must be very upsetting."
D. "I know how difficult it is to lose a loved one."
C. "Losing someone close to you must be very upsetting."
This statement is an empathetic response that attempts to understand the client's feelings
A nurse is conducting therapy with a several clients and their families. Effective communication with
clients and families is based on:
A. discussing in-depth topics with which the client feels comfortable.
B. using silence to avoid unpleasant or difficult topics.
C. attending to verbal and nonverbal behaviors.
D. requiring the client and family to ask for feedback.
C. attending to verbal and non-verbal behaviors
A charge nurse is discussing the characteristics of a nurse-client relationship with a newly licensed nurse.
Which of the following are appropriate to include in the discussion? (Select all that apply.)
A. The needs of both participants are met.
B. An emotional commitment exists between the participants.
C. It is goal-directed.
D. Behavioral change is encouraged.
E. A termination date is established.
C, D, E
When a family asks a nurse for reassurance about a client's condition, which of the following is an appropriate response?
A. "I think your son is getting better. What have you noticed?"
B. "I'm sure everything will be okay. It just takes time to heal."
C. "I'm not sure what's wrong. Have you asked the doctor about your concerns?"
D. "I understand you're concerned. Let's discuss what concerns you specifically."
D. "I understand you're concerned. Let's discuss what concerns you specifically."
A therapeutic response reflects upon, and accepts, the family's feelings, and it allows the members to clarify what they are feeling.
A nurse is planning care for the termination phase of a nurse-client relationship. Which of the following
actions is appropriate to include in the plan of care?
A. Discussing ways to use new behaviors
B. Practicing new problem-solving skills
C. Developing goals
D. Establishing boundaries
A. Discussing ways to use new behaviors
Discussing ways for the client to incorporate new healthy behaviors into life is an appropriate task for the termination phase.
A nurse is obtaining informed consent for a client who has just learned she must have a breast biopsy.
The client is perspiring and pale, has a respiratory rate 30/min, and says, "I don't quite understand what
you're trying to tell me." The nurse should assess the client's anxiety as which of the following?
A. Mild
B. Moderate
C. Severe
D. Panic
B. Moderate
moderate anxiety decreases problem-solving and may hamper one's ability to understand information. Vital signs may increase somewhat, and the person is visibly anxious.
A nurse wants to use democratic leadership with a group whose purpose is to learn appropriate conflict
resolution techniques. The nurse is correct in implementing this form of group leadership when she
demonstrates which of the following actions?
A. Observes group techniques without interfering with the group process
B. Discusses a technique and then directs members to practice the technique
C. Asks for group suggestions of techniques and then supports discussion
D. Suggests techniques and asks group members to reflect on their use
C. Asks for group suggestions of techniques and then supports discussion
Democratic leadership supports group interaction and decision making to solve problems.