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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.
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A client is fearful and reluctant to talk. Which of the following techniques is most effective when trying to engage the client in interaction?
- A. Broad opening
- B. Focusing
- C. Giving information
- D. Silence
Correct Answer: A
Rationale: Broad openings allow a fearful client to choose what to discuss, reducing pressure and encouraging interaction, unlike focusing or silence which may intimidate.
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.
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.
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.
The nurse must be alert to the nonverbal expressions of the client. Because the meaning attached to nonverbal behavior is subjective, it is important for the nurse to
- A. Increase the client's awareness of nonverbal behavior.
- B. Investigate the source of nonverbal behavior.
- C. Validate the client's feelings.
- D. Validate the meaning of the nonverbal behavior.
Correct Answer: D
Rationale: Validating the meaning of nonverbal behavior ensures the nurse accurately interprets the client's cues, avoiding assumptions before exploring sources or feelings.