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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.
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Which of the following is the best reason that many psychiatric care units have policies against clients touching one another or staff?
- A. Because some clients with mental illness have difficulty knowing when touch is or is not appropriate
- B. Because clients often perceive being touched as a threat and may attempt to protect himself or herself by striking the staff person
- C. Because it can be threatening to both the client and the nurse
- D. Because touching always leads to more touching
Correct Answer: A
Rationale: Policies against touching in psychiatric units address clients' difficulty with understanding appropriate boundaries, reducing risks of misinterpretation or escalation.
The nurse uses a variety of therapeutic communication skills when working with patients. Which of the following is a therapeutic goal that can be accomplished through the use of therapeutic communication skills?
- A. Inform the patient of priority problems
- B. Assess the patient's perception of a problem
- C. Assist the patient to control emotions
- D. Provide the patient with a plan of action
Correct Answer: B
Rationale: Therapeutic communication aims to understand the client's perspective, including assessing their perception of a problem, to facilitate emotional expression and collaborative planning, rather than imposing priorities or solutions.
The nurse should use clear concrete messages when working with patients displaying which of the following conditions?
- A. Anxiety
- B. Anorexia
- C. Dementia
- D. Schizophrenia
- E. Hypochondriasis
Correct Answer: A,C,D
Rationale: Clear, concrete messages are essential for clients with anxiety, dementia, or schizophrenia, who may struggle with abstract thinking due to cognitive or emotional impairments.
Which of the following statements is true of empathy?
- A. It is the ability to place oneself into the experience of another for a moment in time.
- B. It involves interjecting the nurse's personal experiences and interpretations of the situation.
- C. It is developed by gathering information from the client.
- D. It results in negative therapeutic outcomes.
- E. The client must learn to develop empathy for the nurse.
Correct Answer: A,C
Rationale: Empathy involves understanding the client's experience by gathering information directly from them, avoiding personal bias, and fostering positive therapeutic outcomes, not requiring reciprocal empathy from the client.
During the mental status assessment, the client expresses the belief that the CIA is stalking him and plans to kidnap him. The best response by the nurse would be,
- A. That makes no sense at all.
- B. You can tell me about that after I finish asking these questions.
- C. What kinds of things have been happening?
- D. Why would the CIA be interested in you?
Correct Answer: C
Rationale: Seeking information encourages the client to elaborate on their belief, allowing the nurse to assess further without dismissing or reinforcing the delusion.