(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? Select three.
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,E
Choice A rationale:
Asking close-ended questions involves inquiring about specific information that can be answered with a brief response, such as "yes" or "no." While these questions have their place in assessment, they are not conducive to building rapport and trust in a therapeutic relationship. Open-ended questions encourage more extensive and meaningful communication.
Choice B rationale:
Reflecting back the patient's feelings and thoughts is a valuable skill in establishing a therapeutic relationship. It demonstrates that the nurse is actively listening and trying to understand the patient's perspective. This technique helps validate the patient's emotions and fosters a sense of trust and empathy.
Choice C rationale:
Imposing personal views and opinions goes against the principles of therapeutic communication. Nurses should maintain a nonjudgmental and objective stance to create a safe environment for patients to express themselves. Imposing personal views can hinder effective communication and damage the therapeutic relationship.
Choice D rationale:
Encouraging patient involvement in decision making empowers the patient and promotes their autonomy. Collaboration in care decisions enhances the patient's sense of control and ownership over their treatment. This approach is especially important when dealing with sensitive issues like suicide risk, as it helps the patient feel heard and respected.
Choice E rationale:
Disregarding patient preferences contradicts patient-centered care, which is a fundamental principle in nursing practice. Building a therapeutic relationship requires acknowledging and respecting the patient's preferences, values, and beliefs. Disregarding these aspects can lead to mistrust and hinder effective communication.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Modifying the plan of care based on the patient's current status is a fundamental aspect of the evaluation phase. Patients' conditions can change, and the plan of care should be flexible enough to adapt to their evolving needs. By making necessary adjustments, the nurse ensures that the patient continues to receive appropriate and effective care.
Choice B rationale:
Comparing the patient's current status with baseline data only is insufficient for a comprehensive evaluation. Baseline data is useful for establishing a starting point, but it doesn't account for changes that may have occurred since then. Effective evaluation involves considering both baseline data and the patient's current condition.
Choice C rationale:
Disregarding the patient's feedback about their care is not appropriate during the evaluation phase. Patient feedback provides valuable insights into their experience, concerns, and whether the current plan of care is meeting their needs. Ignoring their feedback can lead to unaddressed issues and a lack of patient-centered care.
Choice D rationale:
Documenting outcomes without assessing the patient's response undermines the purpose of the evaluation phase. Evaluation involves not only documenting outcomes but also assessing how the patient has responded to interventions. This assessment informs whether the outcomes are positive, need adjustment, or require a different approach.
Correct Answer is A
Explanation
Choice A rationale:
This statement indicates a clear and direct expression of suicidal ideation. The phrase "wish all of this would end" strongly implies a desire for one's life to end, which is a significant concern in assessing a patient with suicidal thoughts. Immediate intervention is necessary to ensure the patient's safety and address their emotional distress.
Choice B rationale:
This statement, "I have been feeling really down lately," expresses a general sense of sadness and low mood. While it suggests emotional distress, it does not explicitly convey a direct intention for self-harm or suicide. However, it should not be ignored and should be explored further during the assessment.
Choice C rationale:
"I've been making a list of things I want to do before I die" is a statement that may have different implications. While it could relate to the patient's interests and goals, it does not necessarily indicate a current intent for suicide. It is important to clarify the context and content of the list before drawing any conclusions.
Choice D rationale:
"I think things might get better if I reach out to my friends" suggests that the patient is considering seeking support from friends, which is generally a positive coping strategy. This statement does not express an immediate risk of self-harm or suicide. However, it's still essential to evaluate the patient's overall emotional state and social support.
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