Nokea
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.
You may also like to solve these questions
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.
The nurse asks the patient, 'What was it like for you when you first knew you had no place to go?' The patient looks down and pauses for quite some time. Which action by the nurse is most therapeutic?
- A. Change the subject to something the patient will discuss
- B. Encourage the patient to express any unpleasant feelings
- C. Apologize for asking such a personal question
- D. Sit quietly until the patient responds
Correct Answer: D
Rationale: Silence allows the patient time to process and respond, respecting their pace, unlike changing the subject or apologizing, which may disrupt therapeutic engagement.
The nurse says to the client, 'You become very anxious when we start talking about your drinking.' Which of the following techniques is the nurse using?
- A. Confronting behavior
- B. Making an observation
- C. Translating into feelings
- D. Verbalizing the implied
Correct Answer: B
Rationale: Making an observation involves stating what the nurse sees, like the client's anxiety, allowing the client to validate or clarify without confrontation.
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.
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.