Nokea
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.
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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.
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.
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.
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.
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.