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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.
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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 states, 'I feel fine. It's a good day.' The nurse notes the patient looking away, and a decreasing pitch in his voice while speaking. Which of the following is the most therapeutic response by the nurse?
- A. I'm glad you are feeling good today.
- B. I'm not sure I believe you.
- C. Tell me what is good about today.
- D. You say you feel fine, but you don't really sound fine.
Correct Answer: D
Rationale: Verbalizing the implied by noting the incongruence between the client's words and nonverbal cues encourages clarification and deeper discussion, making it the most therapeutic response.
Which of the following statements would be an empathetic response in a client interaction?
- A. You must have been embarrassed when your father yelled at you in the grocery store.
- B. You really should find your own housing and get out of the situation with your father.
- C. Well, it sounds like your father has difficulty controlling his temper.
- D. Why do you think your father chose that time and place to yell at you?
Correct Answer: A
Rationale: An empathetic response conveys understanding of the client's feelings, like embarrassment, without judgment or advice, as seen in the first option.
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.
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.