A nurse is communicating with a client who was just admited for treatment of a substance use disorder. Which of the following communication techniques should the nurse identify as a barrier to therapeutic communication?
Select one:

Reﬂecting

Listening atentively

Oﬀering advice

Giving information

Answer and Explanation

The Correct Answer is C

Therapeutic communication involves actively listening to the client, demonstrating empathy, and using open-ended questions to encourage the client to express their thoughts and feelings.

Reﬂecting (option a) and listening attentively (option b) are both examples of eﬀective therapeutic communication techniques as they demonstrate active listening and empathy.

However, oﬀering advice (option c) is a barrier to therapeutic communication because it implies that the nurse knows what is best for the client and can solve their problems for them.

This can create a power dynamic in the nurse-client relationship and may discourage the client from expressing their true thoughts and feelings. Giving information (option d) can be an important aspect of therapeutic communication, but it should be done in a way that respects the client's autonomy and involves collaboration rather than giving directives.

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Correct Answer is C

Explanation

Manipulative behavior is not acceptable in any situation, and it is important for the nurse to set clear boundaries and expectations with the client. Allowing manipulation can enable the client's behavior and reinforce it. Avoiding discussing past or present manipulative behaviors with the client may not eﬀectively address the issue and could potentially worsen the behavior. Bargaining with the client can also reinforce manipulative behavior.

Therefore, instituting consequences for manipulative behavior is the most appropriate intervention to include in the plan of care. This could involve setting clear limits on what is acceptable behavior and consistently enforcing consequences when those limits are exceeded. The consequences should be communicated clearly to the client, and the nurse should work with the client to identify more appropriate ways to communicate their needs and concerns.

A. Always avoiding social gatherings and family meals B. Bingeing on unhealthy food and purging after, to induce vomiting. C. Restricting caloric intake all the time D. Following a very strict diet and exercise program

Correct Answer is B

Explanation

Bulimia nervosa is an eating disorder characterized by recurrent episodes of binge eating followed by inappropriate compensatory behaviors such as self-induced vomiting, misuse of laxatives or diuretics, fasting, or excessive exercise. Binge eating refers to the consumption of an abnormally large amount of food within a short period, accompanied by a feeling of loss of control overeating. After bingeing, individuals with bulimia nervosa feel guilty, ashamed, and anxious about their behavior, and try to compensate by purging.

Options a, c, and d are incorrect as they do not accurately describe the characteristic features of bulimia nervosa.

Avoiding social gatherings and family meals is a characteristic of social anxiety disorder, not bulimia nervosa. Restricting caloric intake all the time is a characteristic of anorexia nervosa, a diﬀerent type of eating disorder. Following a strict diet and exercise program is not necessarily a characteristic of bulimia nervosa, although some individuals with bulimia nervosa may engage in excessive exercise as a compensatory behavior.

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A nurse is communicating with a client who was just admited for treatment of a substance use disorder. Which of the following communication techniques should the nurse identify as a barrier to therapeutic communication? Select one:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A registered nurse is planning to care for a client who demonstrates manipulative behaviors. Which of the following interventions should be included in the plan of care?

Correct Answer is C

Explanation

Which best describes a characteristic of bulimia nervosa?

Correct Answer is B

Explanation

An involuntarily hospitalized client tells the nurse: "Get me the forms for discharge against medical advice (AMA) so I leave the hospital now." What is the registered nurse's best initial response? Select one:

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A psychiatric nurse is caring for a young adult client who says he is experiencing increased anxiety and an inability to concentrate. Which of the following responses should the nurse make?

The registered nurse is preparing for the termination phase of the nurse-client relationship. The registered nurse prepares to implement which nursing task that is most appropriate and most important for this phase? Select one:

A nurse is communicating with a client who was just admited for treatment of a substance use disorder. Which of the following communication techniques should the nurse identify as a barrier to therapeutic communication?
Select one: