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 C

Explanation

Choice A rationale: Excessive noise does impact the professional environment, but the primary concern is its potential impact on clients rather than the appearance of the mental health unit.
Choice B rationale: Excessive noise is more likely to disturb clients by causing insomnia and irritability rather than promoting relaxation.
Choice C rationale: Excessive noise in a mental health unit can disrupt the therapeutic environment and interfere with clients' thinking processes and perceptions by triggering anxiety, aggression, and anxiety. Therefore, maintaining a calm and quiet atmosphere supports mental health treatment.
Choice D rationale: There is no indication that excessive client noise is encouraged by the staff. However, the main concern is the impact of the staff noise on clients.

A. The client likes the security and comfort of the mental health facility B. The client feels that he is no longer able to cope with life stressors or maintain control of his behavior C. The client suffers from depression. D. A client's behavior becomes unusual

Correct Answer is B

Explanation

Choice A rationale: this is incorrect since it is not sufficient by itself to warrant an inpatient admission hence the client can be managed as an outpatient.
Choice B rationale: this is one of the criteria for inpatient admission to a mental health facility since with the inability to cope with life stressors or control his behaviors the patient is at risk of harming either themselves or others. Moreover, this criterion reflects the principle of beneficence, meaning that the best is being done for the client's well-being and safety.
Choice C rationale: this is incorrect since depression is not sufficient by itself to warrant an inpatient admission hence the client can be managed as an outpatient.
Choice D rationale: this is incorrect since it is not sufficient by itself to warrant an inpatient admission hence the client can be managed as an outpatient.

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Barriers to therapeutic communication include probing, giving advice and

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

During the night shift, several staff members are being loud at the nurses' station of an inpatient mental health unit. A nurse asks them to hold down the noise." The nurse has asked this of the staff most likely because she knows that excessive noise

Correct Answer is C

Explanation

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

Correct Answer is B

Explanation

In the psychiatric unit bright colors in the environment of the client are often:

In communicating with the psychiatric patient, which nurse responses could block effective communication with a client? (Select all that apply)

During which phase of the therapeutic relationship do the caregiver and the client identify themselves by introducing themselves to one another?

Regarding the environment, it is important for the nurse to be aware of lighting for some clients. Clients with a diagnosis of schizophrenia may be bothered by lights that are flickering because this may trigger.

Which laboratory value must be monitored frequently for the client who is on Lithium therapy?

Which assessment tool is used to monitor clients for Tardive Dyskinesia?

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

The basic goals of a therapeutic environment include all of the following except: