A female client who is experiencing disordered thinking about food being poisoned is admited to the mental health unit. The nurse should use which communication technique to encourage the client to eat dinner? Select one answer

Providing open-ended questions and silence

Focusing on self-disclosure of own food preferences

Atempting to show empathy by suggesting reasons why the client may not want to eat

Telling the client of the importance of eating

Answer and Explanation

The Correct Answer is A

Choice A reason: Providing open-ended questions and silence is a communication technique that can encourage the client to eat dinner. Open-ended questions can invite the client to share their thoughts and feelings about food and eating, and can help the nurse to explore the client’s perception of reality and identify any distorted thinking. Silence can give the client time to process and respond, and can show respect and acceptance. Therefore, this choice is correct.

Choice B reason: Focusing on self-disclosure of own food preferences is not a communication technique that can encourage the client to eat dinner. Self-disclosure can be appropriate in some situations, but it should be used sparingly and only when it benefits the client. Focusing on the nurse’s own food preferences can be irrelevant, distracting, or imposing, and it can shift the atention away from the client’s needs and concerns. Therefore, this choice is incorrect.

Choice C reason: Atempting to show empathy by suggesting reasons why the client may not want to eat is not a communication technique that can encourage the client to eat dinner. Empathy is a valuable skill, but it should be based on understanding and reﬂecting the client’s feelings, not on assuming or guessing them. Suggesting reasons why the client may not want to eat can be inaccurate, patronizing, or discouraging, and it can reinforce the client’s resistance or mistrust. Therefore, this choice is incorrect.

Choice D reason: Telling the client of the importance of eating is not a communication technique that can encourage the client to eat dinner. Telling or lecturing the client can be perceived as authoritative, judgmental, or condescending, and it can increase the client’s defensiveness or anxiety. It can also ignore the client’s perspective or experience, and fail to address the underlying causes of their disordered thinking. Therefore, this choice is incorrect.

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Correct Answer is D

Explanation

D) “I understand that you would like some ice cream, but I need you to be more respectful when you ask me for something.” This is an assertive response because it acknowledges the patient’s request, expresses the nurse’s feelings, and sets a clear boundary for acceptable behavior. Assertiveness is the ability to communicate one’s needs, opinions, and feelings in a respectful and confident manner.

“You are hungry and want a snack. I can do that in 10 minutes when I finish my rounds.” is incorrect. This is a passive response because it does not address the patient’s rudeness or assert the nurse’s rights. Passive communication is the tendency to avoid conﬂict, suppress one’s feelings, and comply with others’ demands.

“Maybe I can get one of the aides to bring you something in a while.” is incorrect. This is an evasive response because it does not commit to fulfilling the patient’s request or confronting the patient’s attitude. Evasive communication is the tendency to avoid responsibility, give vague answers, and shift blame to others.

“Call the nursing station and ask them to have the kitchen bring whatever you want.” is incorrect. This is an aggressive response because it rejects the patient’s request, shows irritation, and implies that the nurse does not care about the patient’s needs. Aggressive communication is the tendency to dominate, criticize, and blame others.

A. Goals that the patient and his family ask the nursing staﬀ to accomplish. B. Goals that are set slightly higher than the patient can achieve C. Goal statements that are observable and measurable D. Goals that the patient should reach as a result of planned nursing interventions

Correct Answer is ["A"]

Explanation

Choice A reason: A desired patient outcome or expected outcome is a goal that the patient and his family ask the nursing staﬀ to accomplish. This ensures that the patient’s needs and preferences are respected and met.

Choice B reason: A desired patient outcome or expected outcome is not a goal that is set slightly higher than the patient can achieve. This would be unrealistic and demotivating for the patient.

Choice C reason: A desired patient outcome or expected outcome is not a goal statement that is observable and measurable. This is a characteristic of a well-writen goal statement, but not a definition of a desired patient outcome or expected outcome.

Choice D reason: A desired patient outcome or expected outcome is a goal that the patient should reach as a result of planned nursing interventions. This shows the link between the nursing process and the patient’s progress.

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A female client who is experiencing disordered thinking about food being poisoned is admited to the mental health unit. The nurse should use which communication technique to encourage the client to eat dinner? Select one answer

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient roughly asks the nurse to bring him some ice cream. An assertive response by the nurse is:

Correct Answer is D

Explanation

Which statements describe a desired patient outcome or expected outcome? (Select all that apply)

Correct Answer is ["A"]

Explanation

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