Nokea
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.
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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.
The patient expresses frustration that the doctor does not spend enough time with the patient when making rounds. The nurse replies, 'The doctors are very busy. What can I help you with?' The nurse incorporated which nontherapeutic technique in this response?
- A. Belittling
- B. Defending
- C. Disagreeing
- D. Introducing an unrelated topic
Correct Answer: B
Rationale: Defending the doctor's behavior dismisses the patient's frustration, implying their feelings are invalid, which is a nontherapeutic response that hinders open communication.
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.
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.
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.