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A patient says, 'It's been so long since I've been with my family.' Which statement by the nurse is an example of restating?
- A. You say you haven't seen your family in a while.
- B. Tell me when you last saw your family.
- C. Go on. Tell me more.
- D. When was the last time you saw your family?
Correct Answer: A
Rationale: Restating repeats the client's main idea to confirm understanding and encourage further discussion, as seen in the nurse's response echoing the client's statement.
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The nurse is sitting with a patient who is crying. After a few minutes the nurse places one hand on the patient's shoulder. Which of the following best describes the purpose of the nurse's touch with this patient?
- A. To express sympathy to the patient
- B. To assess the patient's skin temperature and circulation status
- C. To offer comfort and support for the patient
- D. To extend an offer of friendship to the patient
Correct Answer: C
Rationale: Touch, when appropriate, offers comfort and support, not sympathy, physical assessment, or friendship, enhancing the therapeutic relationship.
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.
Which statements are true of concrete and abstract messages?
- A. Abstract messages include figures of speech that are difficult to interpret.
- B. Abstract messages are important for accurate information exchange.
- C. Concrete messages require the listener to interpret what the speaker says.
- D. Concrete messages are clear, direct, and easy to understand.
- E. Abstract messages are best used for persons who are anxious.
Correct Answer: A,D
Rationale: Abstract messages use figures of speech that are hard to interpret, while concrete messages are clear and direct, ideal for accurate communication, especially with anxious clients.
The client stated, 'I was so upset about my sister ignoring me when I was talking about being ashamed.' Which nontherapeutic communication technique would the nurse be using if the nurse would state, 'How are your stress reduction classes going?'
- A. Changing the subject
- B. Offering advice
- C. Challenging
- D. Disapproving
Correct Answer: A
Rationale: Changing the subject to an unrelated topic dismisses the client's emotional concern, hindering therapeutic communication.
The nurse asks the client what that experience was like. Which communication skill is the nurse using?
- A. Encouraging expression
- B. Encouraging description of perceptions
- C. Exploring
- D. Requesting an explanation
Correct Answer: A
Rationale: Encouraging expression involves asking the client to describe the quality of their experience, as seen in the nurse's question about what the experience was like.