The goals of therapeutic communication are to:

Focus on the staff member and to build rapport

Focus on the attitude of the client

Focus on the client and to build a rapport

Foster a social relationship

Answer and Explanation

The Correct Answer is C

Choice A rationale: this is incorrect since it implies that the needs of the staff member are to be given the primary focus rather than the client’s needs.
Choice B rationale: this is inaccurate since it suggests that the staff member is evaluating or criticizing the client's attitude. This can make the client become defensive and resistant during their management process.
Choice C rationale: the client is the primary focus in a therapeutic relationship hence in therapeutic communication, the staff member should be empathetic and non-judgmental to the client. They should build a rapport with the client by exercising effective communication skills such as using open-ended questions, active listening, and providing feedback to facilitate the client's expression of feelings and needs.
Choice D rationale: this statement is incorrect as it suggests that the staff member is trying to foster a personal and casual relationship with the client which can compromise their professional role in patient management.

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Correct Answer is C

Explanation

Choice A rationale: This is inappropriate since it does not address the client’s feelings about his/her children and may make the client feel that their feelings are not important and have been disregarded.
Choice B rationale: this is inappropriate since the client’s family issues will be exposed if they talk about them in a room full of other patients hence this will potentially increase his distress.
Choice C rationale: taking the client to a private room respects their right to privacy and dignity. Furthermore, it is a form of empathy and would encourage the client to open up with ease to the nurse.
Choice D rationale: asking the client why he is crying sounds judgmental and accusatory hence this may prevent the client from opening up to the nurse concerning his children.

A. Chloride and sodium B. Water and vitamins C. Sodium and water D. Potassium and water

Correct Answer is C

Explanation

Choice A rationale: Both sodium and chloride are important for fluid balance but chloride has no effect on the blood lithium levels.
Choice B rationale: sodium has an effect on the blood lithium levels by competing with lithium for reabsorption in the kidneys but vitamins do not influence the lithium levels in blood.
Choice C rationale: dehydration increases the risk of lithium toxicity since it will result in oliguria hence increasing the risk of lithium toxicity since the drug is primarily excreted in urine. Sodium and lithium compete for reabsorption in the kidneys, so low sodium levels can increase lithium retention and lead to toxicity. Therefore, the client should maintain an adequate intake of sodium and water to prevent dehydration and sodium loss and to keep the lithium level within the therapeutic range.
Choice D rationale: water has an influence on blood lithium levels since adequate intake minimizes the risk of toxicity by increasing the drug’s excretion in urine.
However, potassium does not compete with lithium for reabsorption.

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The goals of therapeutic communication are to:

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Naxlex Comprehensive Predictor Exams

The nurse is talking with the client in an activity room where others are present. The client becomes tearful when talking about his children at home. What is the nurse's best action?

Correct Answer is C

Explanation

To prevent the occurrence of Lithium (Eskalith) toxicity, the nurse should teach the client to maintain adequate intake of

Correct Answer is C

Explanation

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

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In the Working phase of the nurse-client relationship, the client and nurse work toward the goals that are agreed upon. (True or False)

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