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A patient remarks, 'You know, it's the same thing every time.' The nurse should respond by stating,
- A. I understand
- B. I'm sure everyone is doing their best.
- C. I'm not sure what you mean. Please explain.
- D. It's the same thing every time?
Correct Answer: C
Rationale: Consensual validation seeks mutual understanding by clarifying ambiguous statements, ensuring both nurse and client share the same meaning.
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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.
A client is fearful and reluctant to talk. Which of the following techniques is most effective when trying to engage the client in interaction?
- A. Broad opening
- B. Focusing
- C. Giving information
- D. Silence
Correct Answer: A
Rationale: Broad openings allow a fearful client to choose what to discuss, reducing pressure and encouraging interaction, unlike focusing or silence which may intimidate.
Patient says to the nurse, 'I wonder what's playing at the movie tonight.' The most therapeutic response would be,
- A. Are you telling me you would like to go to the movies?
- B. Why don't you look in the newspaper.
- C. There's nothing worth watching.
- D. Do you like to go to the movies?
Correct Answer: A
Rationale: Verbalizing the implied clarifies the client's hint about wanting to go to the movies, making the conversation more direct and therapeutic.
The nurse is trying to obtain some information about family relationships from the client. Which of the following statements is best?
- A. Is it upsetting for you to talk about your family?
- B. Is your family ready for you to come home?
- C. So, how is your family?
- D. Tell me your feelings about your family situation.
Correct Answer: D
Rationale: Asking the client to describe feelings about their family situation encourages open, detailed responses, unlike questions that may elicit brief or yes/no answers.
A patient states, 'Right before I got here I was doing alright. My job was going well, my wife and I were happy, and we just moved into a new apartment.' The nurse responds, 'You said you and your wife were happy. Tell me more about that.' This is an example of which therapeutic technique?
- A. Encouraging comparison
- B. General lead
- C. Restating
- D. Exploring
Correct Answer: D
Rationale: Exploring delves deeper into a topic, like the client's happiness, to gain a fuller understanding, unlike restating or general leads which serve different purposes.