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When communicating with a patient, which of the following would the nurse use to convey positive body language?
- A. Sitting erect with back against the chair
- B. Crossing the arms over the chest
- C. Sitting at the patient?s eye level
- D. Keeping the feet flat on the floor with the legs crossed
Correct Answer: C
Rationale: Sitting at the patient?s eye level conveys openness, respect, and engagement, fostering positive communication. Crossing arms or legs can appear defensive, and sitting erect with back against the chair may seem rigid, less conducive to rapport.
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While providing care to a patient with a mental disorder, the patient asks the nurse, 'Does mental illness run in your family?' Which response by the nurse would be most inappropriate?
- A. Mental illnesses do run in families, and I?ve had a lot of experience caring for people with mental illness.
- B. It sounds like you are concerned that there may be a family connection to your current problem?
- C. Yes, it does. I have a sister who was diagnosed several years ago with severe major depression.
- D. Mental illness can be family related. Let?s focus the discussion on you and how you?re doing today.
Correct Answer: C
Rationale: Self-disclosure, especially personal details like a family member?s mental illness, is inappropriate in therapeutic communication unless it directly benefits the patient. Option C risks shifting focus to the nurse. Other responses redirect to the patient?s concerns or provide general information, maintaining therapeutic focus.
A nurse responds to a patient?s statement with silence based on the rationale that this technique is used primarily to do which of the following?
- A. Allow the nurse to determine an appropriate response
- B. Permit the patient to gather his or her thoughts
- C. Encourage self-reflection by the nurse
- D. Demonstrate passive listening
Correct Answer: B
Rationale: Silence in therapeutic communication allows the patient to gather thoughts, process emotions, or continue speaking, promoting deeper exploration. It?s not primarily for the nurse?s response planning, self-reflection, or passive listening, which is nontherapeutic.
A patient who is hospitalized with depression tells the nurse, 'I don?t want to take the medication because I?m afraid I?ll become suicidal.' Which response by the nurse would be most appropriate?
- A. Have you ever thought about hurting yourself?
- B. It?s important that you take this medication.
- C. I agree with you. I wouldn?t want to take this medication either.
- D. Another patient took that medication, and he really felt better.
Correct Answer: A
Rationale: The patient?s fear of becoming suicidal warrants immediate assessment for suicidal ideation. Asking 'Have you ever thought about hurting yourself?' directly addresses this concern and ensures patient safety. Other responses dismiss the fear, agree inappropriately, or provide irrelevant anecdotes, none of which address the patient?s concern effectively.
A group of nursing students are preparing a class presentation on therapeutic and nontherapeutic techniques of communication. The students demonstrate understanding of the information when they select which techniques to demonstrate as therapeutic? Select all that apply.
- A. Confrontation
- B. Open-ended statements
- C. Reflection
- D. Reassurance
- E. Agreement
- F. Challenges
Correct Answer: B,C
Rationale: Open-ended statements and reflection are therapeutic techniques, encouraging patient exploration and self-expression. Confrontation and challenges can be therapeutic in specific contexts but are often nontherapeutic if poorly timed. Reassurance and agreement risk dismissing patient concerns or aligning too closely, reducing therapeutic value.
A nurse has engaged in self-awareness and has come to understand his own personal beliefs and attitudes and has recognized some prejudicial ideas. Based on this understanding, which of the following would the nurse now be able to accomplish?
- A. Have a therapeutic relationship with a patient.
- B. Influence patients with certain biases.
- C. Change learned behaviors.
- D. Formulate values and morals.
Correct Answer: A
Rationale: Self-awareness, including recognizing personal biases, allows the nurse to set aside prejudices and engage objectively with patients, fostering a therapeutic relationship. Influencing patients with biases is unethical, changing behaviors requires more than self-awareness, and formulating values and morals is a broader personal process not directly tied to patient care.