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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.
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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.
A client has been making sexual comments when communicating with the nurse. The nurse wants to spend some time talking to the patient while respecting the patient's right to privacy. Which setting would be the most appropriate setting for the nurse to talk with the client?
- A. In the patient's room when the patient's roommate is present and 3 feet away
- B. At the nurse's station when other clients and visitors are less than 4 feet away
- C. In an interview room in a remote section of the unit with the nurse 1 foot away from the patient
- D. In a quiet corner of the dayroom at least 4 feet away from others
Correct Answer: D
Rationale: A quiet corner of the dayroom, at least 4 feet from others, balances privacy with safety, avoiding isolated settings or crowded areas that compromise confidentiality.
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.
Patient says to the nurse, 'I wonder what's playing at the movie tonight.' The most therapeutic response would be,
- A. Are you telling me you would like to go to the movies?
- B. Why don't you look in the newspaper.
- C. There's nothing worth watching.
- D. Do you like to go to the movies?
Correct Answer: A
Rationale: Verbalizing the implied clarifies the client's hint about wanting to go to the movies, making the conversation more direct and therapeutic.
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.