The nurse’s ability to use therapeutic communication eﬀectively in the mental health setting depends on:

How well the client communicates.

The nurse’s understanding of mental health disorders.

The nurse’s ability to listen and observe the clients verbal and non-verbal messages.

The nurse’s relationship with the client.

Answer and Explanation

The Correct Answer is C

The nurse’s ability to listen and observe the client’s verbal and non-verbal messages. Eﬀective communication in the mental health setting requires the nurse to actively listen to the client and to pay close attention to their verbal and non-verbal cues. By doing so, the nurse can better understand the client’s needs and concerns and can provide appropriate support and guidance.

While the nurse’s understanding of mental health disorders (b) and their relationship with the client (d) can also play a role in eﬀective communication, the ability to listen and observe is a fundamental skill that is essential for eﬀective therapeutic communication. The client’s ability to communicate (a) is also important, but it is ultimately the nurse’s responsibility to use eﬀective communication techniques to facilitate the therapeutic process.

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Correct Answer is C

Explanation

Involuntary admission to a mental health unit is done when an individual poses a threat to themselves or others due to a mental health condition. The initial hold is usually for 72 hours, during which the client's condition is assessed and an appropriate treatment plan is developed. If the client is still deemed to be a danger to themselves or others after the initial hold, the healthcare provider may request an extension of the hold or seek a court order to continue treatment.

In order to keep the client in the hospital, it must be determined that they continue to pose a threat to themselves or others.

Factors such as the client's ability to make arrangements to stay with someone or financial capability to pay for medications are not relevant to the decision of whether to continue the hold.

Similarly, unwillingness to accept treatment is not the determining factor, as involuntary treatment can be provided to clients who do not recognize their need for treatment if they are deemed to be a danger to themselves or others.

A. A patient who has dysphasia B. A patient who has schizophrenia C. A patient who is elderly D. A patient who is deaf E. A patient who is blind

Correct Answer is ["A","D","E"]

Explanation

These patients may require adaptive communication techniques to help them communicate eﬀectively with their healthcare providers. For example, a patient with dysphasia may benefit from the use of visual aids or gestures to help them understand and express themselves. A patient who is deaf may require the use of sign language or other forms of non-verbal communication. A patient who is blind may benefit from the use of tactile or auditory aids to help them communicate.

While patients who have schizophrenia (b) or are elderly (c) may also have communication challenges, these conditions do not necessarily require the use of adaptive communication techniques. It is important for healthcare providers to assess each patient’s individual needs and to provide appropriate support and accommodations to help them communicate eﬀectively.

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The nurse’s ability to use therapeutic communication eﬀectively in the mental health setting depends on:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client on an acute care mental health unit who was involuntarily admitted for 72 hr. after attacking a neighbor. To keep the client in the hospital when the initial time to hold the client expires, which of the following must be determined?

Correct Answer is C

Explanation

The following types of patients require adaptive communication techniques: (Select all that apply)

Correct Answer is ["A","D","E"]

Explanation

Thorazine 75 mg IM STAT ordered. Thorazine vial reads: 25 mg/mL. How many mLs will the nurse draw up? Enter the answer as a number only.

A nurse tells a client that she will be back in 10 minutes to re-assess the client’s pain. When the nurse returns in 10 minutes, which aspect of the therapeutic relationship is the nurse developing?

Linda is pacing the ﬂoor and appears extremely anxious. The daily shift nurse approaches Linda to lessen her anxiety. The most therapeutic statement by the nurse would be:

The capacity to understand or feel what another person is experiencing from within the other persons frame of reference i.e., the capacity to place oneself in another person’s position:

An order written by the physician is reviewed by the nursing staﬀ, and no one is familiar with the treatment instructions. A nurse who is recently hired knows that this treatment is covered by the states nurse practice act. What is the nurses’ best course of action?

A nurse is caring for a young adult client who has ulcerative colitis and is scheduled for surgery to create an ileostomy. After speaking with the provider, the client says, “how will I ever be able to have a normal life after this?” Which of the following responses should the nurse make?

Which nurse responses could block eﬀective communication with a client? (Select all that apply)

A long-term goal for in patient mental health treatment is generally to: