A nurse in a mental health facility is caring for a client who is upset about the loss of privileges due to repetitive negative behavior. Which of the following statements by the nurse demonstrates the effective use of assertive communication?

"Why did you make the choice to behave negatively?”

"You need to calm down and forgive me before discussing this matter any further.”

"You were made aware of the consequences of negative behavior so you better go to your room.”

"I understand that you are angry. However, I followed the appropriate protocol.”

Answer and Explanation

The Correct Answer is D

Choice A rationale:

This response uses a confrontational tone and places blame on the client for their behavior, which is not an example of assertive communication. It can potentially escalate the situation and hinder effective communication.

Choice B rationale:

This statement is authoritarian in nature, using phrases like "you need to" and "forgive me," which can further upset the client and create a power struggle. It lacks empathy and understanding, making it ineffective for assertive communication.

Choice C rationale:

While this response acknowledges the consequences of the client's negative behavior, it uses commanding language ("you better go to your room"), which can be perceived as aggressive and may escalate the situation instead of facilitating effective communication.

Choice D rationale:

This statement is the most effective example of assertive communication. It acknowledges the client's feelings ("I understand that you are angry") while also asserting the nurse's adherence to protocol. This response demonstrates empathy, understanding, and a willingness to address the client's emotions in a non-confrontational manner.

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Correct Answer is C

Explanation

Choice A rationale:

While wanting to go home to be with loved ones can be a sign of distress, it doesn't necessarily indicate an immediate risk of suicide. Many individuals express a desire to be with family when feeling down, and this statement alone is not a definitive indicator of suicide risk.

Choice B rationale:

Engaging in social activities like playing basketball with others is generally a positive sign, as it indicates some level of interaction and engagement. This choice is less likely to indicate an immediate suicide risk.

Choice C rationale:

The client demonstrating increased impulsive behaviors is a concerning sign. Rapid and impulsive actions can potentially lead to self-harm or dangerous situations. Increased impulsivity can indicate a lack of consideration for consequences, which may elevate the risk of suicidal behaviors.

Choice D rationale:

Identifying with problems expressed by other clients is not a specific indicator of suicide risk. While it may suggest empathy and shared experiences, it doesn't directly address the immediate risk factors related to the client's bipolar disorder.

A. Bipolar disorder. B. Depression. C. Substance addiction. D. Schizophrenia.

Correct Answer is C

Explanation

Choice A rationale:

Bipolar disorder is a mood disorder characterized by alternating periods of depression and mania. While mental health issues can certainly be prevalent among the homeless population, bipolar disorder may not be the most prevalent in this context. Homelessness often exposes individuals to harsh living conditions, which might contribute to mood disturbances, but substance addiction is more commonly associated with this population.

Choice B rationale:

Depression is a significant concern among homeless individuals due to the many challenges they face, but substance addiction is generally more prevalent. Substance abuse often becomes a coping mechanism for dealing with the stressors of homelessness, making it a primary concern in this population.

Choice C rationale:

Substance addiction is a critical mental health issue that is highly prevalent among homeless individuals. The stress, trauma, and lack of stable support systems experienced by the homeless population contribute to a higher risk of substance abuse as a way to cope with their circumstances.

Choice D rationale:

Schizophrenia involves a disconnection from reality, including symptoms like hallucinations and delusions. While schizophrenia can certainly affect homeless individuals, substance addiction remains a more widespread concern due to its association with the challenges of homelessness.

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A nurse in a mental health facility is caring for a client who is upset about the loss of privileges due to repetitive negative behavior. Which of the following statements by the nurse demonstrates the effective use of assertive communication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in an acute care mental health facility is assessing a client who has bipolar disorder. The nurse recognizes that which of the following findings indicates the client is at risk for suicide?

Correct Answer is C

Explanation

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Correct Answer is C

Explanation

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