When practicing therapeutic communication with a client, the nurse demonstrates which of the following listening skills?

Not clarifying messages to avoid interrupting

Avoiding taking notes to detract from listening

Finishing the client's sentences to indicate listening

Changing the environment if there are distractions

Answer and Explanation

The Correct Answer is D

A.   Clarification is a crucial listening skill that involves asking questions or seeking additional information to ensure understanding. Avoiding clarification to prevent interruption can lead to misunderstandings and incomplete communication.
B.   While it is important to be attentive and present during communication, taking notes can be necessary to document important information. The key is to balance note-taking with active listening. If done discreetly, note-taking should not significantly detract from the ability to engage in effective listening.
C.   Finishing the client’s sentences can be perceived as interruptive and may come across as disrespectful or dismissive. It is important for the client to express their thoughts and feelings fully before the nurse responds.
D.   Changing the environment to minimize distractions is a valuable listening skill. A quiet and comfortable setting can enhance effective communication by allowing the client to focus and express themselves without external interruptions. This helps ensure that the nurse can fully concentrate on the client’s message and respond appropriately.

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Correct Answer is B

Explanation

A. Depression is not just an occasional issue; it is a common and serious mental health concern among older adults. Many factors contribute to its prevalence, including loss of loved ones, chronic illnesses, isolation, and significant life changes.
B. Depression is indeed common among the elderly. Factors such as loneliness, physical health problems, loss of independence, and the death of friends and family can contribute to higher rates of depression in this age group. Studies have shown that depression is a frequent issue in older adults, and it is important for healthcare providers to be aware of and address it.
C. Depression is not non-existent in the elderly; it is a well-recognized condition affecting many older adults. Ignoring or dismissing the prevalence of depression in this population can lead to underdiagnosis and inadequate treatment, negatively impacting their well-being.
D. Depression is not rare among the elderly; it is a common issue. Factors such as chronic physical health conditions, loss of social support, and significant life changes can contribute to higher rates of depression in older adults. Proper assessment and treatment are essential to address this prevalent issue.

A. Teach the client how to perform relaxation techniques. B. Administer a PRN antianxiety medication. C. Ask the client what she was thinking about just before the attack began. D. Stay with the client in a quiet place.

Correct Answer is D

Explanation

A. It is not the immediate priority during a panic attack. The client is currently in a state of heightened distress, and trying to teach new techniques at this moment may not be effective or practical.
B. Although administering PRN (as needed) antianxiety medication can be beneficial for managing symptoms, the immediate priority should be to ensure the client feels safe and supported. Medication may be used later in the process, but addressing the immediate needs and providing a calming environment is crucial first.
C. While understanding the client’s thought process can be helpful for therapeutic purposes and future treatment planning, asking about thoughts during an acute panic attack can be overwhelming and may not be the most supportive approach at that moment.
D. The first priority during a panic attack is to ensure the client feels safe and supported. Staying with the client in a quiet place helps reduce stimuli that could exacerbate the panic attack and provides reassurance.

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When practicing therapeutic communication with a client, the nurse demonstrates which of the following listening skills?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Depression in the elderly is:

Correct Answer is B

Explanation

A nurse in an acute care mental health facility is caring for a client who begins to have a panic attack. Which of the following actions should the nurse take first?

Correct Answer is D

Explanation

A nurse is caring for a patient who has anxiety attacks. What symptoms would indicate that the patient is experiencing a severe anxiety attack?

What is the primary therapeutic use of Prozac?

Which interventions will help to lessen the effects of sundown syndrome? (Select al that apply)

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Which client exhibits signs and symptoms of delirium and not dementia or depression?

Patients with severe depression should be encouraged to play competitive games with other patients as a form of recreation.

After establishing a no-harm contract with the client, the nurse should:

The majority of people function in a relatively healthy manner. What can most strongly diminish their functional capacity?