Nokea
Which of the following are therapeutic communication techniques that a healthcare professional can use when interacting with clients?
- A. Using silence
- B. Discouraging the client from washing their hands
- C. Giving advice
- D. Providing reassurance
Correct Answer: A
Rationale: Therapeutic communication techniques aim to establish a trusting and supportive relationship between the healthcare professional and the client. Using silence is a valid therapeutic technique that allows the client to reflect and express their thoughts. On the other hand, discouraging the client from washing their hands goes against good hygiene practices and is not therapeutic. Giving advice and providing reassurance can be non-therapeutic if not used appropriately, as they may undermine the client's autonomy and problem-solving abilities.
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A client with bipolar disorder is experiencing a manic episode. Which intervention should the nurse implement to ensure the client's safety?
- A. Provide a structured environment with minimal stimuli.
- B. Monitor the client closely for signs of exhaustion.
- C. Encourage the client to rest and sleep as needed.
- D. Encourage the client to engage in regular physical activity.
Correct Answer: A
Rationale: During a manic episode in bipolar disorder, individuals may exhibit increased energy levels, impulsivity, and reduced need for sleep, which can lead to risky behaviors and accidents. Providing a structured environment with minimal stimuli helps to reduce the risk of overstimulation and impulsive actions, thereby promoting the client's safety. This intervention aims to create a calm and controlled setting that can prevent potential harm to the client during this phase of the disorder.
A client with major depressive disorder is receiving cognitive-behavioral therapy (CBT). Which outcome indicates that the therapy is effective?
- A. The client identifies and challenges negative thoughts.
- B. The client reports an increase in suicidal thoughts.
- C. The client experiences an increase in anxiety.
- D. The client shows no change in behavior.
Correct Answer: A
Rationale: In cognitive-behavioral therapy, identifying and challenging negative thoughts is a fundamental aspect of the treatment process. This cognitive restructuring helps individuals with major depressive disorder to develop healthier thinking patterns and cope more effectively with their emotions, which ultimately leads to improvement in their mental health. Therefore, when a client is able to identify and challenge negative thoughts, it indicates that they are actively engaging in the therapeutic process and making progress towards better mental well-being.
Which of the following is not a common side effect of selective serotonin reuptake inhibitors (SSRIs)?
- A. Nausea
- B. Insomnia
- C. Weight loss
- D. Sexual dysfunction
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Which of the following characteristics is not a feature of borderline personality disorder?
- A. Intense fear of abandonment
- B. Unstable relationships
- C. Impulsivity
- D. Grandiosity
Correct Answer: D
Rationale: Borderline personality disorder is characterized by an intense fear of abandonment, unstable relationships, impulsivity, and chronic feelings of emptiness. Grandiosity, which involves an inflated sense of self-importance, is typically associated with narcissistic personality disorder rather than borderline personality disorder.
Which of the following is an uncommon symptom of schizophrenia?
- A. Delusions
- B. Fatigue
- C. Disorganized speech
- D. Catatonia
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.