A patient states, “I don’t know what the pills are for or why I am taking them, so I don’t want them.”

What therapeutic communication would help this patient?

Ask for what you need.

Giving information.

Silence.

Using general leads.

Answer and Explanation

The Correct Answer is B

In this situation, the patient is expressing a lack of understanding and confusion about their medication. The therapeutic communication technique that would be most helpful is giving information, which involves providing the patient with accurate and clear information about their medication, its purpose, and the benefits of taking it.

Option a, "Ask for what you need," may not be eﬀective in this situation because the patient has already expressed what they need, which is information about their medication.

Option c, "Silence," would not be helpful because the patient is seeking information and support.

Option d, "Using general leads," involves using open-ended statements or questions to encourage the patient to share more information, but it may not address the patient's primary concern of not understanding their medication.

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Correct Answer is C

Explanation

Involuntary admission to a mental health unit is done when an individual poses a threat to themselves or others due to a mental health condition. The initial hold is usually for 72 hours, during which the client's condition is assessed and an appropriate treatment plan is developed. If the client is still deemed to be a danger to themselves or others after the initial hold, the healthcare provider may request an extension of the hold or seek a court order to continue treatment.

In order to keep the client in the hospital, it must be determined that they continue to pose a threat to themselves or others.

Factors such as the client's ability to make arrangements to stay with someone or financial capability to pay for medications are not relevant to the decision of whether to continue the hold.

Similarly, unwillingness to accept treatment is not the determining factor, as involuntary treatment can be provided to clients who do not recognize their need for treatment if they are deemed to be a danger to themselves or others.

A. I noticed that you pace the halls, and you have a tense look on your face. I sense you are anxious about something. B. Can you tell me more about how you feel when you are arguing with your daughter? C. You look angry. D. I would like to talk with you about your plan of care.

Correct Answer is A

Explanation

This statement by the student nurse demonstrates the technique of stating the implied and seeing the client's behavior. The student nurse has observed the client pacing the halls and having a tense look on their face, which implies that the client may be feeling anxious. By stating this observation to the client, the student nurse is validating the client's experience and opening a dialogue about their feelings. This technique can help the client feel heard and understood and can facilitate a therapeutic relationship between the client and the nurse.

Option B is an open-ended question that can encourage the client to share more about their feelings, but it does not demonstrate the technique of stating the implied and making an observation about the client's behavior.

Option C is a statement that may be perceived as judgmental or confrontational and does not demonstrate the technique of stating the implied and making an observation about the client's behavior.

Option D is a statement that is focused on the nurse's agenda rather than the client's needs and does not demonstrate the technique of stating the implied and seeing the client's behavior.

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A patient states, “I don’t know what the pills are for or why I am taking them, so I don’t want them.” What therapeutic communication would help this patient?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client on an acute care mental health unit who was involuntarily admitted for 72 hr. after attacking a neighbor. To keep the client in the hospital when the initial time to hold the client expires, which of the following must be determined?

Correct Answer is C

Explanation

The nursing student is assigned a client to interview and is asked to practice the therapeutic communication techniques of stating the implied and making and observation about their behavior. Which statement by the student nurse best describes the technique?

Correct Answer is A

Explanation

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A patient states, “I don’t know what the pills are for or why I am taking them, so I don’t want them.”

What therapeutic communication would help this patient?