Barriers to therapeutic communication include probing, giving advice and

Providing false reassurance

Use of open-ended questions

Active listening

Silence

Answer and Explanation

The Correct Answer is A

Choice A rationale: providing false reassurances invalidates the client’s feelings and concerns thus making them feel that the nurse is not trustworthy or empathetic. This may hinder the development of a therapeutic relationship.
Choice B rationale: the use of open-ended questions is appropriate since it allows the client to freely express their thoughts and feelings without being limited by the yes or no answers.
Choice C rationale: active listening involves paying attention to the client’s verbal and non-verbal cues and clarifying any possible misunderstandings.
Choice D rationale: silence is crucial since it enables the client to reflect on their thoughts and to process their emotions. Furthermore, it is a form of respect for the client’s feelings.

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Correct Answer is A

Explanation

Choice A rationale: The client is not a problem in a therapeutic relationship but is instead the focus of care and their needs and preferences be considered in their care process.
Therefore, the client should also be encouraged to participate actively in the treatment and to provide feedback on the progress and challenges.
Choice B rationale: The environment, including issues like noise, interruptions, or lack of privacy, can impact the effectiveness of therapeutic interactions.
Choice C rationale: Financial resources, for instance, lack of insurance coverage, high costs of healthcare, and limited access to quality healthcare can impair effective patient care resulting in stress and frustration for the patient.
Choice D rationale: The caregiver's own challenges, such as burnout, communication issues, and lack of knowledge, skills, and experience can impair the quality of care provided to a client thus affecting the therapeutic relationship.

A. Axis 3 B. AXIS 2 C. Axis 4 D. Axis1

Correct Answer is A

Explanation

Choice A rationale: Axis 3 is used in the documentation of conditions, for instance, asthma, hypertension, and diabetes mellitus among others which are known to have effects on an individual’s mental health.
Choice B rationale: Axis 2 is used in the documentation of conditions affecting a client’s functioning such as personality disorders and mental retardation.
Choice C rationale: Axis 4 is used in the documentation of environmental and psychosocial issues contributing to a patient’s stress such as financial and family stressors.
Choice D rationale: Axis 1 is used to document clinical disorders that are the primary focus of management such as schizophrenia, major depressive disorder, and bipolar disorder among others.

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Barriers to therapeutic communication include probing, giving advice and

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Common problems in a therapeutic relationship include all of the following except

Correct Answer is A

Explanation

A client in the mental health unit has a history of Asthma. Which axis would the nurse document this information?

Correct Answer is A

Explanation

A client has borderline personality disorder. Which Axis will the nurse document this information?

Therapeutic relationship differs from other relationships in that the focus of a therapeutic relationship is on:

The assessment phase of the nursing process refers to the phase when data collection occurs. Which methods does the nurse use to collect data? (Select all that apply.)

In preparing discharge planning for a client who has been prescribed lithium for the treatment of bipolar disorder, the nurse must be sure that the client demonstrates an understanding of the need to monitor his or her diet for intake of:

Ativan 1mg IM is ordered. Ativan is available in 2mg/mL. How many mls will you administer?

The nurse should monitor which vital signs in the client who is taking Clozaril (Clozapine).

Which is an accepted criterion for inpatient admission to a mental health facility?

The nurse is administering medications to a client with a diagnosis of a mental illness with a mood disorder. The nurse would expect to see which medications were ordered for this client. (Select all that apply)