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
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Compensation involves offsetting perceived deficiencies by excelling in other areas. The patient claiming weight gain is due to fluid retention is not trying to make up for a perceived weakness or deficiency; instead, they are explaining their behavior in a way that deflects responsibility.
B. Rationalization is a defense mechanism where a person provides logical or reasonable-sounding explanations for behaviors or situations that are actually motivated by irrational or emotional factors. In this case, the patient who overeats is rationalizing their weight gain by attributing it to fluid retention rather than addressing the underlying issue of overeating. This allows them to avoid facing the real cause of their weight gain.
C. Regression involves reverting to earlier stages of development or behavior when faced with stress. For instance, an adult might act childishly when under pressure. The patient in this scenario is not behaving in a more immature or childlike manner but is rather giving an excuse for their behavior.
D. Projection involves attributing one's own undesirable thoughts or feelings to others. For example, someone who is untrustworthy might accuse others of being untrustworthy. The patient in this scenario is not attributing their own issues to others but is offering an excuse for their own behavior.
Correct Answer is A
Explanation
A. Risperidone is an atypical antipsychotic used primarily to treat symptoms of schizophrenia. It helps manage symptoms such as hallucinations, delusions, and disorganized thinking. It works by altering the effects of neurotransmitters in the brain, particularly dopamine and serotonin.
B. Risperidone is not typically used as a first-line treatment for anxiety disorders. While it can have some impact on mood and agitation, anxiety is usually treated with medications such as selective serotonin reuptake inhibitors (SSRIs) or benzodiazepines. Risperidone might be used in cases where anxiety is part of a broader psychotic disorder, but it is not the primary treatment for anxiety alone.
C. Risperidone is not commonly used to treat ADHD. ADHD is typically managed with stimulant medications like methylphenidate or amphetamines, or non-stimulant medications such as atomoxetine. Risperidone might be used off-label in some cases if ADHD symptoms are severe and co- occurring with other disorders, but it is not a standard treatment for ADHD.
D. Risperidone is not primarily used to treat depression. Depression is typically treated with antidepressants, such as SSRIs, SNRIs, or other classes of antidepressants. Risperidone might be used as an adjunct medication in cases where depression is accompanied by psychotic symptoms or severe mood disturbances, but it is not a primary treatment for depression alone.
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