(Select all that apply): A nurse is establishing a therapeutic relationship with a patient at risk for suicide. Which of the following skills should the nurse use to build rapport and trust with the patient?
Asking close-ended questions.
Reflecting back the patient's feelings and thoughts.
Imposing personal views and opinions.
Encouraging patient involvement in decision making.
Disregarding patient preferences.
Correct Answer : B,D
The correct answer is B. Reflecting back the patient’s feelings and thoughts and D. Encouraging patient involvement in decision making.
Choice A rationale:
Asking close-ended questions is not effective in building rapport and trust. Close-ended questions can limit the patient’s ability to express their feelings and thoughts, which is crucial in understanding their mental state and providing appropriate support.
Choice B rationale:
Reflecting back the patient’s feelings and thoughts helps in validating their emotions and shows that the nurse is actively listening and empathetic. This technique fosters trust and encourages the patient to open up more about their feelings.
Choice C rationale:
Imposing personal views and opinions can be detrimental to the therapeutic relationship. It can make the patient feel judged or misunderstood, which can hinder open communication and trust.
Choice D rationale:
Encouraging patient involvement in decision making empowers the patient and promotes a sense of control over their situation. This collaborative approach can enhance the therapeutic relationship and support the patient’s autonomy.
Choice E rationale:
Disregarding patient preferences is counterproductive in establishing a therapeutic relationship. It can lead to feelings of disrespect and neglect, which can further isolate the patient and exacerbate their risk.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","E"]
Explanation
Choice A rationale:
Engaging in team sports is generally a positive activity and does not typically indicate suicidal ideation. While team sports can have mental health benefits, it is important to focus on the other signs that are more strongly associated with potential suicide risk.
Choice B rationale:
Expressing feelings of hopelessness is a significant warning sign of suicidal ideation. When individuals consistently express a sense of hopelessness, it could indicate that they feel trapped in their current situation and may be contemplating suicide as a way out.
Choice C rationale:
Withdrawing from social activities is a red flag for potential suicidal ideation. Social withdrawal can be indicative of a lack of interest in activities once enjoyed, a desire to isolate oneself, and an increased sense of loneliness and isolation, all of which are concerning signs.
Choice D rationale:
Demonstrating good academic performance is generally not a strong indicator of suicidal ideation. It's important to consider other emotional and behavioral signs that are more closely related to mental distress.
Choice E rationale:
Participating in creative hobbies can be a warning sign of suicidal ideation, especially if there is a sudden loss of interest in activities that the person used to enjoy. Creative hobbies may serve as an outlet for emotions, and a decrease in engagement could signal emotional turmoil.
Correct Answer is C
Explanation
Choice A rationale:
Active listening. Active listening is an important communication skill that involves attentively hearing and interpreting what the patient is saying. However, it doesn't specifically address the aspect of acknowledging the patient's feelings and thoughts as real and understandable without agreeing or disagreeing.
Choice B rationale:
Empowerment. Empowerment refers to the process of enabling and supporting patients to take control of their own health and make informed decisions. While this is an essential aspect of patient care, it doesn't directly address the skill of acknowledging the patient's feelings and thoughts without expressing agreement or disagreement.
Choice C rationale:
Validation. Validation involves recognizing and accepting the patient's feelings and thoughts as valid, even if you don't share the same perspective. It shows empathy and understanding without passing judgment. In the context of a patient with suicidal ideation, validation is crucial as it helps build trust and rapport, creating an environment where the patient feels heard and supported.
Choice D rationale:
Open-ended questions. Open-ended questions are inquiries that can't be answered with a simple "yes" or "no" and encourage patients to provide more detailed responses. While they are valuable for eliciting information, they don't specifically address the act of acknowledging the patient's feelings and thoughts as real and understandable without taking a stance.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.