Theraputetic communication
What is interpersonal communication?
A. primary communication system in which meaning is assigned to various gestures & patterns of behavior
B. transaction btwn sender & receiver
C. an evidence-based pt centered style of therp communication that facilitates pt exploration of their motivations for behavior change & guides pt to explore the advantages and disadvantages of their decision
B. transaction btwn sender & receiver
Expo: A. is non-verbal expression and C. is motivationally interviewing
The nurse is using nursing process to care for a client who is suicidal. Which of the following nursing actions is a part of the assessment step of the nursing process?
A. identifies nursing diagnosis: risk for suicide
B. Notes that the client's family reports a recent suicide attempt.
C. prioritizes the necessity of maintaining a safe client environment.
D. obtains a commitment from the pt to work collaboratively to identify adaptive coping skills.
B. Notes that the client's family reports a recent suicide attempt.
Meaghan is very restless and pacing the room. The nurse says to Meaghan, "If you do not sit down in the chair and be still, I am going to put you in restraints!" With which of the following legal actions might the nurse be charged bc of this nursing action?
A. defamation of character
B. battery
C. breach of confidentiality
D. assault
D. assault
The nurse is using the nursing process to care for a pt who is suicidal. Which of the following nursing actions is a part of the evaluation step of the nursing process?
A. prioritizes the necessity for maintaining a safe environment for the pt.
B. determines whether nursing interventions have been appropriate to achieve desired results.
C. collaborates w the pt to develop a plan for ongoing safety and suicide prevention.
D. identifies that the "pt will not harm self during hospitalization."
B. determines whether nursing interventions have been appropriate to achieve desired results.
A client who has been diagnosed w schizophrenia and has been on meds for several months states, "I'm not taking that stupid med anymore." Which of the following responses by the nurse demonstrates a motivational interviewing style of communication?
A. "Don't you know that if you don't take your med you will never recover?"
B. Why won't you cooperate w the tx you dr. prescribed?"
C. "Suzzy, The med is not stupid."
D. "Tell me more about why you don't want to take the med."
D. "Tell me more about why you don't want to take the med."
A client who is angry w/ his psychiatrist says to the nurse " he doesn't know what he is doing. THAT med isn't helping a thing!" The nurse responds, " he has been a dr for many years and has helped many ppl."
This is an example of which non-therp technique?
A. rejecting
B. disapproving
C. probing
D. defending
D. defending
The nurse is using the nursing process to care for a client who is suicidal. Which of the following nursing actions is a part of the diagnosis step of the nursing process?
A. identifies the pt as "at risk for suicide."
B. notes that pt's family reports a recent suicide attempt.
C. prioritizes the necessity of maintaining a safe environment for the pt.
D. obtains a commitment from the pt to work collaboratively to identify adaptive coping skills.
A. identifies the pt as "at risk for suicide."
A client asks the nurse, "Do you think I should tell my husband about my affair w my boss?" Which is the most appropriate response by the nurse?
A. "What do you think will be best for you to do?"
B. "ofc you should. Marriage has to be based on truth"
C. "ofc not. That will only make things worse."
D. " I cannot tell you what to do. You have to decide for yourself."
A. "What do you think will be best for you to do?"
A. handwritten notes from a shift change report
B. memory of what was given to the pt earlier
C. the electronic health record
D. ALL the above
C. the electronic health record
The nurse says to a client, "You are being readmitted to the hospital. Why did you stop taking your med?" What communication technique would this represent?
A. disapproving
B. requesting an explanation
C. disagreeing
D. probing
B. requesting an explanation
A client says to the nurse, "I've been offered a promotion, but I don't know if I can handle it." The nurse replies, "You're afraid you may fail in the new position." This is an example of which therapeutic technique?
A. restating
B. making observations
C. focusing
D. verbalizing the implied
A. restating
The nurse is using the nursing process to care for a pt who is suicidal. Which of the following nursing actions is a part of the outcome identification step of the nursing process?
A. prioritizes the necessity of maintaining a safe environment for the client.
B. determines whether nursing interventions have been appropriate to achieve desired results.
C. obtains a commitment from the pt to work collaboratively to identify adaptive coping skills.
D. identifies that the "pt will not harm self during hospitalization."
D. identifies that the "pt will not harm self during hospitalization."
Which is an example of social distance? SATA
A. a date in a restaurant
B. a cocktail party
C. public building
D. speaking in public
E. yelling to someone from distance away
F. close convos w friends and colleagues
B. a cocktail party
C. public building
Expo: intimate distance is the closest distance an individual will allow btwn themselves and others (0-18"). Personal distance is approx 18-40" and reserved for personal interactions such as close convos w friends and colleagues. Social distance is 4-12 feet away from the body. A public distance exceeds 12 feet.
A client is admitted to the psychiatric unit w depression. Which of these activities by the nurse is a priority?
A. assess the pt risk for suicide
B. establish a care plan that includes suicide precautions
C. contact dr. for orders
D. orient the pt to unit activities
A. assess the pt risk for suicide
A client who has been in rehabilitation for alcohol dependence returns from a visit to his home and tells the nurse, "We were having a celebration and I did have 1 drink, but it wasn't a problem." The nurse noticed his breath smells of alcohol. Which of the following responses by the nurse demonstrates a motivational interviewing style of communication?
A. "You are obvi not motivated to change, so perhaps we should discuss your discharge from the tx program".
B. "You need to abstain from alcohol in order to recover, so let me talk to the dr. about the consequences of your behavior."
C. "Why would you destroy everything you worked so hard to achieve?"
D. "What do you mean when you say, "It really wasn't a problem?"
D. "What do you mean when you say, "It really wasn't a problem?"
A depressed client who has been unkempt & untidy for weeks comes to group therapy today wearing makeup & a clean dress w her hair washed and combed. Which of the following by the nurse is appropriate?
A. "I see you have put on a clean dress and combed your hair."
B. "You look wonderful today!"
C. " I am sure everyone will appreciate you have cleaned up for the group today."
D. "Now that you see how important it is, I hope you will do this every day."
A. "I see you have put on a clean dress and combed your hair."
The nurse is using the nursing process to care for a pt who is suicidal. Which of the following nursing actions is a part of the planning step of the nursing process?
A. prioritizes the necessity for maintaining a safe environment for the pt.
B. determines whether nursing interventions have been appropriate to achieve desired results.
C. obtains a commitment from the pt to work collaboratively to identify adaptive coping skills.
D. identifies that the "pt will not harm self during hospitalization".
A. prioritizes the necessity of maintaining a safe environment for the pt.
An adolescent who has just returned from group therapy is crying. She says to the nurse, "All the other kids laughed at me! I try to fit in, but I always seem to say the wrong thing. I have never had a close friend. I guess I never will." Which is the most appropriate response by the nurse?
A. "What makes you think you will never have any friends?"
B. "You're feeling pretty down on yourself right now."
C. "I am sure they did not mean to hurt feelings."
D. "Why do you feel this way about yourself?"
B. "You're feeling pretty down on yourself right now."
A 15-year-old female client named Lexi is admitted to the adolescent psychiatric unit with a diagnosis of anorexia nervosa. She is 5 feet 5 inches tall and weighs 82 pounds. She was selected to join the cheerleading squad for the fall but states that she is not as good as the others on the squad. The treatment team has identified the following problems: refusal to eat, occasional purging, refusing to interact with staff and peers, and fear of failure. Which of the following nursing diagnoses would be appropriate for this client? (Select all that apply)
A. social isolation
B. disturbed body image
C. low self-esteem
D. imbalanced nutrition: less than body requirements
A. social isolation
B. disturbed body image
C. low self-esteem
D. imbalanced nutrition: less than body requirements
A client states, "I refuse to shower in this room. I must be very cautious. The FBI has placed a camera in here to monitor my every move." Which of the following is the most therapeutic response?
A. "That is not true."
B. "I have a hard time believing that is true."
C. "Surely you do not believe that."
D. "I will help you search this room so that you can see there is no camera."
B. "I have a hard time believing that is true."
A client was involved in a car accident while under the influence of alcohol. She swerved her car into a tree and narrowly missed hitting a child on a bike. She is in the hospital w multiple abrasions & contusions. She is talking about the accident w the nurse. Which of the following statements by the nurse is most appropriate?
A. "Now that you know what can happen when you drink & drive, I am sure you won't let it happen again."
B. " You know that was a terrible thing you did. That child could have been killed."
C. "I am sure everything is going to be ok now that you understand the possible consequences of such behavior."
D. "How are you feeling about what happened?"
D. "How are you feeling about what happened?"
The nurse is using the nursing process to care for a pt who is suicidal. Which of the following nursing actions is a part of the implementation step of the nursing process?
A. prioritizes the necessity for maintaining a safe environment for the pt.
B. determines whether nursing interventions have been appropriate to achieve desired results.
C. collaborates w the pt to develop a plan for ongoing safety and suicide prevention.
D. identifies that the "pt will not harm self during hospitalization".
C. collaborates w the pt to develop a plan for ongoing safety and suicide prevention.
The environment in which communication takes place influences the outcome of the interaction. Which of the following are aspects of the environment that influence communication? SATA
A. TERRITORIATILITY
B. DENSITY
C. DIMENSION
D. DISTANCE
E. INTENSITY
A. TERRITORIATILITY
B. DENSITY
D. DISTANCE
Which of the following nursing diagnosis would be the PRIORITY diagnosis for Lexi?
A. social isolation
B. disturbed body image
C. low self-esteem
D. imbalanced nutrition: less than body requirements
D. imbalanced nutrition: less than body requirements
A client, who has been in the hospital for 3 weeks, has used Valium "to settle her nerves" for the past 15 yrs. She was admitted by her psychiatrist for safe withdrawal from the drug. She has passed the physical symptoms of withdrawal at this time but states to the nurse, " I do not know if I will be able to make it w/ out Valium after I go home. I am already starting to feel nervous. I have so many personal problems." Which is the most appropriate response by the nurse?
A. "Why do you think you need drugs to deal w your problems?"
B. "everyone has problems, but not everyone uses drugs to deal w them. You will just have to do the best you can."
C. "Let's explore some things you can do to decrease your anxiety w/out resorting to drugs."
D. "Just hang in there. I am sure everything is going to be ok."
C. "Let's explore some things you can do to decrease your anxiety w/out resorting to drugs."