A nurse is leading a group family therapy session for a mother, father, and two adolescent siblings. Which of the following statements should the nurse recognize as an example of effective communication among family members?
"Please do not raise your voice at the children. I am the one who left dishes in the sink."
"Can you tell me the reason you get upset each time I go to the mall?"
"If you keep saying that, I will tell everyone what you did last night."
"She is always bossing me around. Should she do that?"
The Correct Answer is B
Choice A Reason:
This statement reflects an attempt to de-escalate a potential conflict by taking responsibility for an action that may have caused distress. However, it does not directly invite dialogue or understanding between family members. Effective communication in family therapy aims to foster open and empathetic dialogue, where members feel heard and understood.
Choice B Reason:
Asking for clarification on emotions connected to specific events is a hallmark of effective communication. This statement opens the door for the family member to share their feelings and for others to understand the perspective behind the emotions. It encourages a non-confrontational exchange of thoughts and feelings, which is essential in family therapy to promote healing and understanding.
Choice C Reason:
This statement is an example of a threat, which can lead to increased tension and conflict within the family. It is counterproductive to the goals of family therapy, which include improving communication and resolving conflicts in a constructive manner. Effective communication should be free of coercion and intimidation.
Choice D Reason:
While this statement may reflect a feeling or concern within the family dynamic, it is framed as an accusation rather than an invitation to discuss the behavior or its impact. Effective communication involves expressing one's own feelings and needs without making judgments about others' actions.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason - "Don't worry. We'll take good care of your parent while you are gone.":
This statement is meant to reassure the son that his parent will be well-cared for in his absence, which is an important concern for family members of patients. However, it does not provide any immediate comfort or solution to his dilemma of needing to be in two places at once.
Choice B reason - "You are feeling drawn in two separate directions.":
By acknowledging the son's feelings, the nurse is showing understanding and empathy. Recognizing the emotional conflict is a key step in providing emotional support, but the response stops short of offering actionable advice or comfort.
Choice C reason - "Perhaps you could call your children to see how they are doing.":
This suggestion is helpful because it gives the son a way to be involved with his children's well-being without having to leave the hospital. It's a compromise that addresses both of his concerns and can provide him with some peace of mind.
Choice D reason - "There's nothing you can do here. You should go home to your children.":
While this might be a practical suggestion, it fails to consider the son's emotional state and his need to support his hospitalized parent. It could make him feel guilty or negligent for considering leaving, even if it's to attend to his children.
Correct Answer is ["C","E","F"]
Explanation
Choice A Reason:
Advocating for one's rights and the rights of others is not typically seen as a characteristic of aggressive communication. It can be a feature of assertive communication, where the individual stands up for their rights in a respectful and non-confrontational manner.
Choice B Reason:
Seeking to avoid expressing personal opinions is not characteristic of aggressive communicators. Aggressive communicators are more likely to forcefully express their opinions without regard for others' feelings or perspectives.
Choice C Reason:
Being controlling during conversations is a hallmark of aggressive communication. Aggressive communicators often dominate discussions, impose their views, and may disregard others' input.
Choice D Reason:
Feeling anxious about how messages will be received is not typically associated with aggressive communication. This trait is more aligned with passive communication, where individuals may be concerned about others' reactions and thus may hold back their true thoughts.
Choice E Reason:
Blaming others for misunderstandings is a common behavior in aggressive communication. Aggressive communicators may not take responsibility for their part in a conflict and instead put the blame on others.
Choice F Reason:
Frequently interrupting others during conversation is indicative of aggressive communication. This behavior demonstrates a lack of respect for others' contributions and a desire to control the conversation.
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