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 A

Explanation

The therapist's statement shows a lack of remorse or guilt for committing Medicare fraud. The statement suggests that the therapist does not see anything wrong with overbilling Medicare and taking advantage of the government. This lack of remorse or guilt is a common trait seen in individuals who engage in fraudulent behaviour.

A. A client who recently burned her arm by accident while using a hot iron at home. B. A client who tells the nurse he experienced manifestations of severe anxiety before and during a job interview. C. A client who requests that her antipsychotic medication be changed due to some new adverse eﬀects. D. A client that says he is hearing a voice that tells him he is not worthy of living anymore.

Correct Answer is D

Explanation

This client is experiencing auditory hallucinations and may be at risk for self-harm or suicide. The nurse should prioritize visiting this client first to assess their safety and provide appropriate interventions.

Option a. A client who recently burned her arm by accident while using a hot iron at home may require wound care and education on safety, but this situation is not as urgent as the client experiencing auditory hallucinations.

Option b. A client who tells the nurse he experienced manifestations of severe anxiety before and during a job interview may benefit from interventions to manage anxiety, but this situation is not as urgent as the client experiencing auditory hallucinations.

Option c. A client who requests that her antipsychotic medication be changed due to some new adverse eﬀects may require medication adjustment and monitoring for side eﬀects, but this situation is not as urgent as the client experiencing auditory hallucinations.

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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 therapist recently convicted of multiple counts of Medicare fraud says, "Sure I overbilled. Why not? Takes advantage of the government, so I did too, it is not a problem." These statements show: Select one:

Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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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: