Which comments by a nurse demonstrate the use of therapeutic communication techniques? (Select all that apply)
There are people with problems much worse than yours
What do you think you could do to feel better?
I understand how you’re feeling; let’s talk more about it
Why don’t you just try to forget about it?
The Correct Answer is B
Choice A reason: Comparing the patient’s problems to others minimizes their experience, a non-therapeutic technique. It dismisses feelings, hindering trust and open communication, contrary to psychiatric nursing principles that emphasize validation, making this choice incorrect.
Choice B reason: Asking the patient to suggest solutions encourages self-reflection and empowerment, a therapeutic technique. It fosters autonomy and problem-solving, aligning with patient-centered care in mental health nursing, making this a correct choice for therapeutic communication.
Choice C reason: Expressing understanding and inviting further discussion validates the patient’s feelings, fostering trust. This empathetic, open-ended approach is a hallmark of therapeutic communication in psychiatric care, promoting a safe space for exploration, making this a correct choice.
Choice D reason: Suggesting the patient forget their problems is dismissive and non-therapeutic. It invalidates feelings and discourages exploration, contrary to psychiatric nursing goals of fostering insight and trust, making this choice incorrect for therapeutic communication.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: In Peplau’s orientation phase, the nurse establishes trust, fosters collaboration, and sets boundaries to build a therapeutic relationship. This foundation is critical for patients with psychiatric disorders, ensuring a safe space for engagement, making this the correct choice.
Choice B reason: Medication adherence is a clinical intervention addressed later, in the working phase, not orientation. The initial phase focuses on relationship-building, not specific treatments, making this choice incorrect for the orientation phase’s goals.
Choice C reason: Coping skill development occurs in the working phase, after trust is established. Orientation prioritizes relationship foundations like trust and boundaries, not skill-building, making this choice incorrect for the initial nurse-patient interaction phase.
Choice D reason: Long-term goals are addressed in the working or termination phases, not orientation, which focuses on establishing trust and rapport. Setting goals prematurely may hinder relationship-building, making this choice incorrect for the orientation phase.
Correct Answer is B
Explanation
Choice A reason: Weight gain and metabolic changes are side effects of clozapine, primarily due to its antihistaminic and serotonergic effects, not its dopaminergic action. Dopamine blockade is more associated with movement disorders, making this choice incorrect for teaching related to dopaminergic effects.
Choice B reason: Clozapine’s strong dopaminergic effect, particularly D2 receptor blockade, can cause extrapyramidal symptoms like tardive dyskinesia, a movement disorder. Patient education must emphasize monitoring for abnormal movements, as these are significant risks in antipsychotic therapy, making this the correct choice.
Choice C reason: Infection risk, particularly agranulocytosis, is a serious clozapine side effect but is unrelated to its dopaminergic action. It stems from bone marrow suppression, requiring blood monitoring, not dopamine-related teaching, making this choice incorrect for the question’s focus.
Choice D reason: Improved mood is not a direct result of clozapine’s dopaminergic effect, which primarily addresses psychotic symptoms. Mood changes occur over weeks and involve multiple receptors, not just dopamine, making this choice incorrect for dopaminergic-focused teaching.
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