Nokea
The client says to the nurse, 'I have special powers because I am the mother of God. I can heal everyone in the hospital.' The nurse's best response would be,
- A. That sounds interesting. What can you do?
- B. It would be unusual for anyone to have that kind of power.
- C. You could not heal everyone. No one has that much power.
- D. Well, you can certainly try.
Correct Answer: B
Rationale: Voicing doubt gently questions the client's delusional belief without confrontation, encouraging reflection while maintaining respect.
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Which one of the following goals of therapeutic communication would the nurse strive to attain first?
- A. Facilitate the client's expression of emotions
- B. Establish a therapeutic nurse/client relationship
- C. Teach the client and family necessary self-care skills
- D. Implement interventions designed to address the client's needs
Correct Answer: B
Rationale: Establishing a therapeutic relationship is the foundational step in therapeutic communication, enabling trust and open dialogue before addressing emotions, teaching skills, or implementing interventions.
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.
The nurse must be alert to the nonverbal expressions of the client. Because the meaning attached to nonverbal behavior is subjective, it is important for the nurse to
- A. Increase the client's awareness of nonverbal behavior.
- B. Investigate the source of nonverbal behavior.
- C. Validate the client's feelings.
- D. Validate the meaning of the nonverbal behavior.
Correct Answer: D
Rationale: Validating the meaning of nonverbal behavior ensures the nurse accurately interprets the client's cues, avoiding assumptions before exploring sources or feelings.
The nurse asks the patient what he would like to talk about. This is an example of
- A. Broad opening
- B. Encouraging expression
- C. Focusing
- D. Offering self
Correct Answer: A
Rationale: Broad openings allow the client to initiate and direct the conversation, encouraging them to choose the topic, unlike focusing or offering self, which have different purposes.
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.