A nurse is communicating with a client who was just admitted for treatment of a substance use disorder. Which of the following communication techniques should the nurse identify as a barrier to therapeutic communication?
Giving information
Listening attentively
Reflecting
Offering advice
The Correct Answer is D
A. Giving information: This is actually a key component of therapeutic communication. It helps clients understand their situation and the care they are receiving, which can empower them and reduce anxiety.
B. Listening attentively: Active listening is fundamental to effective therapeutic communication.
C. Reflecting: Reflecting helps the client to explore their feelings and thoughts.
D. Offering advice: Offering advice can create a barrier because it may come across as judgmental or directive, rather than supportive. It can also undermine the client’s autonomy and ability to make their own decisions. Therapeutic communication focuses on listening, understanding, and reflecting the client’s feelings and experiences.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Advising: Advising is a non-therapeutic communication technique because it imposes the nurse’s opinions on the client rather than exploring the client’s thoughts and feelings. It can inhibit the client's self-expression and problem-solving abilities.
B. Silence: Silence is generally a therapeutic technique that allows clients time to think and reflect. It can facilitate deeper conversation and self-exploration.
C. Focusing: Focusing involves directing the client's attention to a particular aspect of their experience or issue. It is a therapeutic technique that helps clients explore specific issues in more depth.
D. Reflecting: Reflecting is a therapeutic technique where the nurse mirrors the client's feelings or thoughts to help them explore and understand their emotions better.
Correct Answer is C
Explanation
A. Open group: Open groups allow new members to join at any time and existing members to leave as needed. The described group has a set duration and consistent membership, so it is not an open group.
B. Self-help group: Self-help groups are typically organized and led by group members who share a common issue or concern. The described group is more structured and led by a therapist, not fitting the self-help group model.
C. Closed group: A closed group is characterized by a fixed membership that remains the same throughout the sessions. The group described, meeting weekly for 10 sessions, fits this description.
D. Educational group: Educational groups focus on teaching specific knowledge or skills. The described group focuses on addressing feelings of depression through therapeutic sessions, not primarily on education.
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