Silence can be a helpful therapeutic tool for group participants by giving each an opportunity to contemplate what has transpired, weigh alternatives, and formulate ideas. Which statement best supports this?

Silence allows group members to reflect and process emotions

Silence encourages immediate verbal responses from participants

Silence is used to discipline uncooperative group members

Silence replaces active listening in group therapy

Answer and Explanation

The Correct Answer is A

Choice A reason: Silence in group therapy provides space for reflection, allowing members to process emotions and thoughts. This supports therapeutic goals by fostering insight and self-awareness, aligning with psychiatric principles of facilitating emotional processing, making this the correct choice.

Choice B reason: Silence does not encourage immediate verbal responses; it promotes contemplation. Encouraging quick responses may pressure participants, disrupting therapeutic processing, which relies on reflective pauses, making this statement contrary to the therapeutic use of silence and incorrect.

Choice C reason: Using silence to discipline is punitive, not therapeutic. Silence in therapy aims to facilitate reflection, not control behavior, which contradicts psychiatric nursing principles of fostering a supportive environment, making this choice incorrect and non-therapeutic.

Choice D reason: Silence complements, not replaces, active listening. Active listening involves verbal and nonverbal engagement, while silence provides reflective space. Replacing listening with silence undermines therapeutic communication, making this statement incorrect for the role of silence in therapy.

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Correct Answer is B

Explanation

Choice A reason: Weight gain and metabolic changes are side effects of clozapine, primarily due to its antihistaminic and serotonergic effects, not its dopaminergic action. Dopamine blockade is more associated with movement disorders, making this choice incorrect for teaching related to dopaminergic effects.

Choice B reason: Clozapine’s strong dopaminergic effect, particularly D2 receptor blockade, can cause extrapyramidal symptoms like tardive dyskinesia, a movement disorder. Patient education must emphasize monitoring for abnormal movements, as these are significant risks in antipsychotic therapy, making this the correct choice.

Choice C reason: Infection risk, particularly agranulocytosis, is a serious clozapine side effect but is unrelated to its dopaminergic action. It stems from bone marrow suppression, requiring blood monitoring, not dopamine-related teaching, making this choice incorrect for the question’s focus.

Choice D reason: Improved mood is not a direct result of clozapine’s dopaminergic effect, which primarily addresses psychotic symptoms. Mood changes occur over weeks and involve multiple receptors, not just dopamine, making this choice incorrect for dopaminergic-focused teaching.

A. Asking a direct question, such as "Did you feel angry?" B. Asking the patient, "Why did you do that?" C. Maintaining eye contact and nodding D. Offering advice based on personal experience

Correct Answer is C

Explanation

Choice A reason: Direct questions like "Did you feel angry?" may elicit specific information but can feel confrontational, limiting open dialogue. They focus on the nurse’s agenda rather than signaling attentive listening, which is critical for therapeutic communication in mental health, making this choice less effective.

Choice B reason: Asking "Why did you do that?" can seem judgmental, causing defensiveness and hindering open communication. It shifts focus to justification rather than fostering a safe space for the patient to share feelings, making it non-therapeutic and incorrect for showing listening interest.

Choice C reason: Maintaining eye contact and nodding are nonverbal cues that demonstrate active listening and empathy, encouraging patients to share openly. These align with therapeutic communication principles in psychiatric nursing, creating a supportive environment and fostering trust, making this the correct choice for showing interest.

Choice D reason: Offering advice based on personal experience shifts focus to the nurse, undermining the patient’s perspective. It risks blurring professional boundaries and is non-therapeutic, as it does not prioritize the patient’s feelings or encourage open dialogue, making this choice incorrect.

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Silence can be a helpful therapeutic tool for group participants by giving each an opportunity to contemplate what has transpired, weigh alternatives, and formulate ideas. Which statement best supports this?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient begins therapy with clozapine medication. What teaching should the nurse provide related to the drug’s strong dopaminergic effect?

Correct Answer is B

Explanation

Which therapeutic technique best communicates to a patient that the nurse is interested in listening?

Correct Answer is C

Explanation

A patient tells the nurse, "I don’t think I’ll ever get out of here." Select the nurse’s most therapeutic response.

What must the nurse obtain from the patient in order for medical information to be released to another health care facility or third party regarding a patient diagnosed with a mental illness?

A nurse is conducting a mental health assessment for a patient reporting persistent feelings of hopelessness. Which intervention best aligns with evidence-based practice for addressing this symptom?

Which statements are true about bupropion? (Select all that apply)

A nurse is caring for a patient with a mental health disorder. Which approach best supports therapeutic care?

When considering the suggestions of Hildegard Peplau, which activity should the nurse regularly engage in that supports the theory of interpersonal relations?

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