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 C

Explanation

Choice A reason: This is incorrect because it shows that the problem is not suspected, but rather the client has a desire to improve or maintain a level of health. A wellness nursing diagnosis describes a potential or actual health state that can be enhanced.

Choice B reason: This is incorrect because it shows that the problem is not suspected, but rather the client has a cluster of related problems that are associated with a specific situation or event. A syndrome nursing diagnosis describes a patern of responses that are linked by a common cause.

Choice C reason: This is correct because it shows that the problem is suspected, but lacks enough data to support it. A ‘risk for’ nursing diagnosis describes a potential problem that may occur if certain risk factors are present.

Choice D reason: This is incorrect because it shows that the problem is not suspected, but rather the client has signs and symptoms that indicate an actual health issue. An actual nursing diagnosis describes a current problem that has been validated by data.

A. "There is no reason to worry. This surgeon has an excellent reputation.” B. “It sounds as though you have mixed feelings about the surgery. Can you tell me more about how you feel?” C. "The benefits outweigh the risks. You can be confident that the surgery should be done.” D. "You are bound to feel much beter once it is all over with.”

Correct Answer is B

Explanation

Choice A reason: "There is no reason to worry. This surgeon has an excellent reputation.” is not the best nursing response. This response shows false reassurance, which is a communication technique that involves minimizing or dismissing the other person’s feelings or situation. It also shows authority, which is a communication barrier that involves using one’s position or status to inﬂuence or persuade the other person. It does not address the client’s emotions or needs, and may sound patronizing or condescending. Therefore, this choice is incorrect.

Choice B reason: “It sounds as though you have mixed feelings about the surgery. Can you tell me more about how you feel?” is the best nursing response. This response shows active listening, which is a communication skill that involves hearing, understanding, and responding to the client’s verbal and nonverbal messages. It also shows empathy, which is the ability to understand and share the feelings of another person. It acknowledges and validates the client’s emotions, and invites them to express their concerns or fears. Therefore, this choice is correct.

Choice C reason: "The benefits outweigh the risks. You can be confident that the surgery should be done.” is not the best nursing response. This response shows persuasion, which is a communication technique that involves using logic or evidence to convince or inﬂuence the other person. It also shows assumption, which is a communication barrier that involves making judgments or guesses about what the other person thinks or feels. It does not address the client’s emotions or needs, and may sound coercive or manipulative. Therefore, this choice is incorrect.

Choice D reason: "You are bound to feel much beter once it is all over with.” is not the best nursing response. This response shows cliché, which is a communication technique that involves using overused or trite expressions that lack meaning or sincerity. It also shows avoidance, which is a communication barrier that involves shifting the focus away from the other person’s feelings or situation. It does not address the client’s emotions or needs, and may sound vague or insincere. Therefore, this choice is incorrect.

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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

When a problem is suspected, but lacks enough data to support it, the nursing diagnosis is:

Correct Answer is C

Explanation

A client with carotid stenosis has just discussed an upcoming surgery with the physician. The client tells the Practical Nurse (PN), “I wonder if I should let him cut my neck open?” Which nursing response is best?

Correct Answer is B

Explanation

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