What are the goals of therapeutic communication?

Foster a social relationship.

Focus on the attitude of the client.

Focus on the client and to build a rapport.

Focus on the staff member and to build rapport.

Answer and Explanation

The Correct Answer is C

Choice A rationale
While fostering a social relationship can be a part of therapeutic communication, it is not the primary goal. The main focus is on the client’s needs and concerns.
Choice B rationale
Focusing on the attitude of the client is not the primary goal of therapeutic communication. The main goal is to understand the client’s experiences and feelings.
Choice C rationale
The primary goals of therapeutic communication are to focus on the client and to build a rapport. This involves understanding the client’s needs, concerns, and emotions effectively.
Choice D rationale
Focusing on the staff member and building rapport is not the primary goal of therapeutic communication. The main focus should be on the client.

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Correct Answer is D

Explanation

Choice A rationale
Akinesia, which refers to a lack of movement, is a potential side effect of certain medications, particularly antipsychotics. However, it is not typically irreversible.
Choice B rationale
Akathisia, characterized by restlessness and agitation, is another potential side effect of antipsychotic medications. Like akinesia, it is not typically irreversible.
Choice C rationale
Dystonia, which involves muscle spasms, can be a side effect of certain medications. It can typically be reversed with treatment.
Choice D rationale
Tardive dyskinesia, which involves involuntary movements, is a potential side effect of long- term use of certain antipsychotic medications. It is irreversible, especially when not detected early.

A. Increasing feelings of anger. B. Sleeping 12 hours or more each day. C. Increasing sense of attachment to others. D. Constant need to talk about the event.

Correct Answer is A

Explanation

Choice A rationale:
Anger is a common and expected response to trauma, including sexual assault. It can stem from various sources, including:
Feelings of violation and powerlessness: Survivors may feel intense anger towards the perpetrator for taking control of their bodies and lives.
Betrayal: If the assault was committed by someone they knew or trusted, survivors may feel intense anger towards that person for breaking their trust.
Frustration and injustice: Survivors may feel angry at the injustice of the situation, the lack of control they had, and the ongoing impact of the trauma.
Difficulty processing other emotions: Anger can sometimes mask other emotions that are difficult to deal with, such as fear, sadness, or guilt.
Anger can manifest in various ways, including:
Irritability and outbursts: Survivors may have a short temper, snap at others easily, or have difficulty controlling their anger. Aggression: In some cases, anger can lead to physical or verbal aggression towards others or self-harming behaviors.
Withdrawal and isolation: Some survivors may withdraw from social interactions and relationships to avoid potential triggers for their anger.
Substance abuse: Some survivors may turn to alcohol or drugs to numb their feelings or cope with their anger.
Choice B rationale:
Sleeping 12 hours or more each day can be a symptom of PTSD, but it is not a specific indicator of anger. It can also be a sign of depression, anxiety, or hypersomnia, a sleep disorder characterized by excessive daytime sleepiness.
Choice C rationale:
PTSD can sometimes lead to an increased sense of detachment from others, rather than attachment. Survivors may feel emotionally numb, have difficulty trusting others, or withdraw from relationships.
Choice D rationale:
While some survivors of sexual assault may feel a need to talk about the event, it is not a universal symptom of PTSD. Some survivors may avoid talking about the event altogether due to the distress it causes.

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What are the goals of therapeutic communication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which medication side effect is irreversible if not detected early?

Correct Answer is D

Explanation

A nurse is assessing a client who has posttraumatic stress disorder (PTSD) following a sexual assault. Which of the following is an expected finding?

Correct Answer is A

Explanation

Upon entrance into a mental health care system, clients are thoroughly assessed, and this is followed by the development of a mental health treatment plan assessment. Which of the following are purposes of the treatment plan? (Select all that apply)

The patient is experiencing loss of multiple abilities such as short- and long-term memory, language, and the ability to understand. What condition does the patient have?

During the assessment phase of the nursing process, data collection takes place. What methods does the nurse employ to gather data? (Select all that apply.)

What expected outcomes should the nurse document for a client diagnosed with a depressive disorder? (Select all that apply)

A patient is pacing the hall near the nurse’s station, swearing loudly. What would be an appropriate initial intervention for the nurse?

In a psychiatric unit, how are bright colors in the client’s environment often perceived?

In communicating with the psychiatric patient, which nurse responses could obstruct effective communication with a client? (Select all that apply)

Haldol 2mg IM stat has been ordered for the agitated client. Haldol is available in 5mg/ml. How many ml’s will you administer?