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?

Answer and Explanation

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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Correct Answer is A

Explanation

Choice A reason: A 16-year-old voluntarily admitted for mental health treatment has the legal right to refuse treatment, as voluntary admission implies consent and autonomy. Minors may have limited rights, but voluntary status allows refusal unless overridden by guardianship or legal statutes, making this the correct choice.

Choice B reason: A 20-year-old with court-ordered treatment lacks the legal right to refuse, as a court mandate overrides autonomy due to assessed risk or incapacity. Legal frameworks prioritize compliance in such cases to ensure safety and treatment efficacy, making this choice incorrect.

Choice C reason: A 35-year-old involuntarily admitted client cannot refuse treatment, as involuntary admission indicates a legal determination of danger or incapacity. Mental health laws prioritize intervention over autonomy in these cases to protect the client or others, making this choice incorrect.

Choice D reason: An adult refusing life-threatening treatment may face legal restrictions, as mental health laws can override refusal if the client poses a danger or lacks capacity. This scenario does not clearly grant a legal right to refuse, unlike voluntary admission, making this choice incorrect.

A. Adopt a neutral attitude when providing care B. Check on the patient throughout the day for brief interactions C. Discuss the patient’s feelings with an authorized individual D. Share personal mental health information with the patient

Correct Answer is A

Explanation

Choice A reason: A neutral attitude in psychiatric nursing maintains professional boundaries and objectivity, preventing bias or emotional entanglement. This fosters a therapeutic environment, allowing patients to express feelings without judgment, aligning with principles of therapeutic communication and mental health care, making this the correct choice.

Choice B reason: Brief check-ins, while useful, may not provide the depth needed for therapeutic care in mental health settings. Consistent, meaningful engagement is more effective for building trust and addressing complex emotional needs, making this approach less optimal compared to maintaining neutrality.

Choice C reason: Discussing a patient’s feelings with another individual risks breaching confidentiality unless authorized by the patient or legally required. This violates ethical standards in mental health care, which prioritize privacy, making this approach non-therapeutic and incorrect for supporting patient care.

Choice D reason: Sharing personal mental health information blurs professional boundaries, potentially shifting focus from the patient’s needs to the nurse’s experiences. This undermines therapeutic communication and objectivity, risking patient trust and care quality, making this approach inappropriate and incorrect.

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Which comments by a nurse demonstrate the use of therapeutic communication techniques? (Select all that apply)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a group of clients in an acute mental health facility. Which of the following clients has the legal right to refuse treatment?

Correct Answer is A

Explanation

A nurse is caring for a patient with a mental health disorder. Which approach best supports therapeutic care?

Correct Answer is A

Explanation

The plan of care for a patient is not completed within 24 hours of the patient’s admission due to the unit being short-staffed. Which action should the nurse prioritize?

Applying a bitter substance to the nails for people who tend to bite their nails is a form of which type of therapy?

Which therapeutic technique best communicates to a patient that the nurse is interested in listening?

When considering the suggestions of Hildegard Peplau, which activity should the nurse regularly engage in that supports the theory of interpersonal relations?

A nurse is preparing morning medications for all patients, and one patient says, "I am not taking any of those pills!" The nurse gets frustrated and forcefully holds the patient to administer the medication over the patient’s objection. Which term best describes this action?

Silence can be a helpful therapeutic tool for group participants by giving each an opportunity to contemplate what has transpired, weigh alternatives, and formulate ideas. Which statement best supports this?

A nurse instructs a patient taking a monoamine oxidase inhibitor (MAOI) drug to avoid certain foods and drugs because of the risk of which condition?

A nurse is working with a patient diagnosed with schizophrenia who is experiencing auditory hallucinations. Which intervention best supports the patient in managing these symptoms?