THERAPEUTIC
COMMUNICATION
COMMUNICATION
A nurse states to a client, Things will look better tomorrow after a good nights sleep. This is an example of which communication technique?
A. he therapeutic technique of giving advice B. The therapeutic technique of defending C. The nontherapeutic technique of presenting reality D. The nontherapeutic technique of giving false reassurance
Which statement should a nurse identify as correct regarding a clients right to refuse treatment?
A. Clients can refuse pharmacological but not psychological treatment. B. Clients can refuse any treatment at any time. C. Clients can refuse only electroconvulsive therapy (ECT). D. Professionals can override treatment refusal if the client is actively suicidal or homicidal
Which data-gathering technique is employed during the assessment phase of the nursing process?
A. Asking the client to rate mood after administering an antidepressant B. Asking the client to verbalize understanding of previously explained unit rules C. Asking the client to describe any thoughts of self-harm D. Asking the client if the group on assertiveness skills was helpful
A client diagnosed with major depressive disorder asks, What part of my brain controls my emotions? Which nursing response is appropriate?
A. The occipital lobe governs perceptions, judging them as positive or negative. B. The parietal lobe has been linked to depression C. The medulla regulates key biological and psychological activities. D. The limbic system is largely responsible for ones emotional state.
What is the most essential task for a nurse to accomplish prior to forming a therapeutic relationship with a client?
A. To clarify personal attitudes, values, and beliefs
B. To obtain thorough assessment data
C. To determine the clients length of stay
D. To establish personal goals for the interaction
7. 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. B. Please describe what you are seeing. C. Why do you continually look in the corner of this room? D. If you hum a tune, the voices may not be so distracting.
Which client should a nurse identify as a potential candidate for involuntarily commitment?
A. A client living under a bridge in a cardboard box B. A client threatening to commit suicide C. A client who never bathes and wears a wool hat in the summer D. A client who eats waste out of a garbage can
Which statement is most accurate regarding the assessment of clients diagnosed with psychiatric problems?
A. Medical history is of little significance and can be eliminated from the nursing assessment. B. Assessment provides a holistic view of the client, including biopsychosocial aspects. C. Comprehensive assessments can be performed only by advanced practice nurses. D. Psychosocial evaluations are gained by subjective reports rather than objective observations
A withdrawn client diagnosed with schizophrenia expresses little emotion and refuses to attend group therapy. What altered component of the nervous system should a nurse recognize as being implicated in this behavior?
A. Dendrites B. Axons C. Neurotransmitters D. Synapses
What is the priority nursing action during the orientation (introductory) phase of the nurse client relationship
A. Acknowledge the clients actions and generate alternative behaviors. B. Establish rapport and develop treatment goals. C. Attempt to find alternative placement. D. Explore how thoughts and feelings about this client may adversely impact care.
When interviewing a client, which nonverbal behavior should a nurse employ?
A. Maintaining indirect eye contact with the client B. Providing space by leaning back away from the client C. Sitting squarely, facing the client D. Maintaining open posture with arms and legs crossed
A geriatric client is confused and wandering in and out of every door. Which scenario reflects the least restrictive alternative for this client
A. The client is placed in seclusion. B. The client is placed in a geriatric chair with tray. C. The client is placed in soft Posey restraints. D. The client is monitored by an ankle bracelet.
Within the nurses scope of practice, which function is exclusive to the advance practice psychiatric nurse?
A. Teaching about the side effects of neuroleptic medications B. Using psychotherapy to improve mental health status C. Using milieu therapy to structure a therapeutic environment D. Providing case management to coordinate continuity of health services
A nurse concludes that a restless, agitated client is manifesting a fight-or-flight response. The nurse should associate this response with which neurotransmitter?
A. Acetylcholine B. Dopamine C. Serotonin D. Norepinephrine
A mother who has learned that her child was killed in a tragic car accident states, I cant bear to go on with my life. Which nursing statement conveys empathy?
A. This situation is very sad, but time is a great healer. B. You are sad, but you must be strong for your other children. C. Once you cry it all out, things will seem so much better. D. It must be horrible to lose a child; Ill stay with you until your husband arrives.
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? B. Ill sit with you until it is time for your family session. C. I notice you are wearing a new dress and you have washed your hair. D. I'm happy that you are now taking your medications. They will really help.
A client is concerned that information given to the nurse remains confidential. Which is the nurses best response?
A. Your information is confidential. It will be kept just between you and me. B. I will share the information with staff members only with your approval. C. If the information impacts your care, I will need to share it with the treatment team. D. You can make the decision whether your physician needs this information or not.
What is being assessed when a nurse asks a client to identify name, date, residential address, and situation?
A. Mood B. Perception C. Orientation D. Affect
A client is admitted to a psychiatric unit with the diagnosis of catatonic schizophrenia. Which of the clients neurotransmitters should a nurse expect to be elevated?
A. Serotonin B. Dopamine C. Gamma-aminobutyric acid (GABA) D. Histamine
On which task should a nurse place priority during the working phase of relationship development?
A. Establishing a contract for intervention B. Examining feelings about working with a particular client C. Establishing a plan for continuing D. Promoting the clients insight and perception of reality
. During a nurse client interaction, which nursing statement may belittle the clients feelings and concerns?
A. Don't worry. Everything will be alright B. You appear uptight. C. I notice you have bitten your nails to the quick. D. You are jumping to conclusions.
The nursing staff is discussing the concept of competency. Which information about competency should a nurse recognize as true?
A. Competency is determined with a clients compliance with treatment. B. Refusal of medication can initiate an incompetency hearing leading to forced medications. C. A competent client has the ability to make reasonable judgments and decisions. D. Competency is a medical determination made by the clients physician.
What is the purpose when a nurse gathers client information?
A. It enables the nurse to modify client behaviors related to personality disorders. B. It enables the nurse to make sound clinical judgments and plan appropriate client care. C. It enables the nurse to prescribe the appropriate medications. D. It enables the nurse to assign the appropriate Axis I diagnosis.
Which cerebral structure should a nursing instructor describe to students as the emotional brain?
A. The cerebellum B. The limbic system C. The cortex D. The left temporal lobe
When is self-disclosure by the nurse appropriate in a therapeutic nurse client relationship?
A. When it is judged that the information may benefit the nurse and client B. When the nurse has a duty to warn C. When the nurse feels emotionally indebted toward the client D. When it is judged that the information may benefit the client