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

Chronic anxiety is a persistent feeling of unease, worry, or fear that can interfere with daily life. To manage chronic anxiety, the client needs to identify anxiety-producing situations that trigger their symptoms. This can help the client avoid or cope better with these situations. It is important to note that it is not always possible to eliminate stress and anxiety from daily life, so it is better to focus on managing it eﬀectively.

Trying to repress feelings of anxiety is not a helpful strategy and can make the client's symptoms worse in the long run. Repressing emotions can lead to feelings of frustration, irritability, and even physical symptoms such as headaches or muscle tension.

Contacting the crisis counselor once a week may be helpful for some clients, but it is not a standard recommendation for all clients with chronic anxiety. The discharge plan should include personalized recommendations that are tailored to the client's specific needs and circumstances.

A. needs to be taught about medication action and side eﬀects. B. refuses to eat or bathe. C. reports feelings of alienation from family. D. is reluctant to participate in unit social activities.

Correct Answer is B

Explanation

According to Maslow’s hierarchy of needs, physiological needs such as food and hygiene are the most basic and fundamental needs that must be met before higher-level needs can be addressed. Therefore, a patient who refuses to eat or bathe would receive higher priority in care planning.

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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 preparing a client who has chronic anxiety for discharge from the psychiatric unit. Which of the following instructions should the nurse include in the client's discharge plan?

Correct Answer is A

Explanation

A nurse uses Maslow’s hierarchy of needs to plan care for a psychotic patient. Which problem will receive higher priority? The patient who: Select one:

Correct Answer is B

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: