The nurse can best communicate to a patient that she has been listening by:

Making an evaluation about the patient's problem

Restating the main feelings or thoughts the patient has expressed

Saying "I understand what you're saying."

Offering a leading question such as "And then what happened?"

Answer and Explanation

The Correct Answer is B

Choice A Reason:

Making an evaluation about the patient's problem is incorrect. Making an evaluation may involve the nurse imposing their judgment on the patient's situation, which can hinder effective communication.

Choice B Reason:

Restating the main feelings or thoughts the patient has expressed is correct. Restating the main feelings or thoughts the patient has expressed is a therapeutic communication technique known as paraphrasing. This technique demonstrates active listening and shows the patient that the nurse is paying attention to their concerns. It allows the nurse to reflect back to the patient what has been said, confirming understanding and encouraging further communication.

Choice C Reason:

Saying "I understand what you're saying" is incorrect. While expressing understanding is important, simply stating "I understand" might be perceived as superficial if not accompanied by concrete examples or restatement of the patient's expressed thoughts and feelings.

Choice D Reason:

Offering a leading question such as "And then what happened?", is incorrect. Asking a leading question can be perceived as directive and may steer the conversation in a particular direction. It might not convey the same level of active listening as restating the patient's own words and feelings.

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Correct Answer is B

Explanation

Choice A Reason:

This response is dismissive and invalidates the son's feelings of guilt. It does not acknowledge or address his emotional distress. Providing false reassurance and shifting focus to work is not therapeutic.

Choice B Reason:

This response reflects therapeutic communication. It validates the son’s feelings by acknowledging his guilt and encourages him to express his emotions. Reflective listening allows the nurse to build trust and support the son in processing his emotions.

Choice C Reason:

Asking "Why" can feel accusatory or judgmental, making the son defensive. While the statement attempts to provide reassurance, it fails to address his emotional state and may shut down further communication.

Choice D Reason:

Although this response provides some reassurance and normalization, it minimizes the son's emotions by focusing on generalizations. It lacks the reflective quality necessary for therapeutic communication in this situation.

A. Have too far from art and history museums to visit them as often as I would like B. Four robberies and three assault to occurred in my neighborhood in the past month C. Feel so alone. I wish had someone special in my life. D. Did not do a good job on the project may supersker assigned

Correct Answer is B

Explanation

Choice A Reason:

“I live too far from art and history museums to visit them as often as I would like. “This pertains more to self-actualization and leisure activities, which are higher-level needs.

Choice B Reason:

"Four robberies and three assaults occurred in my neighborhood in the past month. “This statement addresses safety concerns, which fall under the second level of Maslow's hierarchy. Ensuring safety is a fundamental need that takes priority before addressing social or esteem needs.

Choice C Reason:

"I feel so alone. I wish I had someone special in my life." This addresses the need for belonging and social connection, which is a higher-level need compared to safety.

Choice D Reason:

"I did not do a good job on the project my supervisor assigned." This relates to self-esteem and job performance, which are higher-level needs.

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The nurse can best communicate to a patient that she has been listening by:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for an older adult client who had a cerebrovascular accident and has right-sided paralysis and aphasia. The client's son tells the nurse it is his fault because he did not insist that his mother live with him. Which of the following responses should the nurse make?

Correct Answer is B

Explanation

Using Maslow's pyramid, which patient comment would the nurse respond to first?

Correct Answer is B

Explanation

A nurse working in a psychiatric unit plans to apply milieu therapy on a patient. Which intervention would the nurse include in the therapy?

A nurse is admitting a client who is about to undergo surgery for benign prostatic hypertrophy. The client states. "I don't know what I will do if they find I have cancer." Which of the following responses should the nurse make?

A nurse is caring for a group of clients on a mental health unit. Which of the following actions should the nurse implement to establish therapeutic relationships with the clients?

Which patient statement best captures the helpfulness of the nurse-patient relationship? Select one:

A nurse observes that a client who has depression is sitting alone in the room crying. As the nurse approaches, the client states. "I'm feeling really down and don't want to talk to anyone right now." Which of the following responses should the nurse make?

A nurse is performing a mental status examination (MSE) on a client who has a new diagnosis of dementia. Which of the following components should the nurse include? (Select all that apply.)

Which cause is responsible for a patient reacting to the nurse by saying, "You are indifferent and cold, just like my mother"?

Which activity would a nurse perform in an inpatient psychiatric unit? Select all that apply. (Select All that Apply.)