Nokea
A patient is sitting alone, slouched, with eyes closed. The nurse approaches. Which statement is most likely to encourage the patient to talk?
- A. If you are sleepy, would you like me to help you back to your room?
- B. You look like you are deep in thought.
- C. Is something wrong?
- D. Why are you sitting with your eyes closed?
Correct Answer: B
Rationale: Making an observation about the client's appearance invites dialogue without assuming or challenging, encouraging the client to share their thoughts.
You may also like to solve these questions
A patient asks the nurse what she should do about her 'cheating' husband. The nurse replies, 'You should divorce him. You deserve better than that.' The nurse used which communication technique?
- A. Giving information
- B. Verbalizing the implied
- C. Giving advice
- D. Agreeing
Correct Answer: C
Rationale: Giving advice, as in suggesting divorce, is nontherapeutic as it assumes the nurse knows best, limiting the client's autonomy in decision-making.
Which of the following distance zones is acceptable for people who mutually desire personal contact?
- A. Social
- B. Intimate
- C. Personal
- D. Public
Correct Answer: B
Rationale: The intimate zone (0-18 inches) is suitable for those desiring personal contact, like close family, unlike social, personal, or public zones meant for other interactions.
A patient states, 'I feel fine. It's a good day.' The nurse notes the patient looking away, and a decreasing pitch in his voice while speaking. Which of the following is the most therapeutic response by the nurse?
- A. I'm glad you are feeling good today.
- B. I'm not sure I believe you.
- C. Tell me what is good about today.
- D. You say you feel fine, but you don't really sound fine.
Correct Answer: D
Rationale: Verbalizing the implied by noting the incongruence between the client's words and nonverbal cues encourages clarification and deeper discussion, making it the most therapeutic response.
Which of the following are nontherapeutic techniques?
- A. Silence
- B. Voicing doubt
- C. Agreeing
- D. Challenging
- E. Giving approval
- F. Accepting
Correct Answer: C,D,E
Rationale: Agreeing, challenging, and giving approval are nontherapeutic as they can imply judgment or reinforce misconceptions, unlike silence, voicing doubt, or accepting, which support therapeutic dialogue.
A patient yells, 'All the nurses here are so mean. None of you really care about us!' The most therapeutic response would be,
- A. I cannot allow you to yell like that.
- B. We care about you.
- C. Oh, really?
- D. You seem very irritated.
Correct Answer: D
Rationale: Reflecting the client's feelings, like irritation, acknowledges their emotions and encourages further expression, fostering a therapeutic dialogue.