Which of the following are examples of a nurse using non-therapeutic communication techniques? (Select all that apply)
Focusing on the nurse rather than the client
Making value judgments
Giving advice
Using active listening
The Correct Answer is A
Choice A reason: Focusing on the nurse’s experiences shifts attention from the patient, undermining therapeutic communication. This violates psychiatric nursing principles, which prioritize patient-centered dialogue to build trust and explore feelings, making this a non-therapeutic technique that disrupts effective mental health care.
Choice B reason: Making value judgments imposes the nurse’s beliefs on the patient, creating a judgmental environment. This hinders open communication, fosters defensiveness, and undermines trust, contrary to therapeutic communication goals in mental health nursing, making this a correct choice for non-therapeutic behavior.
Choice C reason: Giving advice assumes the nurse knows best, disempowering the patient and limiting self-exploration. Therapeutic communication encourages patients to find their own solutions, making advice-giving non-therapeutic, as it disrupts autonomy and trust, correctly identifying this as a non-therapeutic technique.
Choice D reason: Active listening, involving empathy and nonverbal cues, is a cornerstone of therapeutic communication. It fosters trust and validates patient feelings, essential in mental health care. This technique enhances therapeutic relationships, making it incorrect as a non-therapeutic communication example.
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Related Questions
Correct Answer is B
Explanation
Choice A reason: Administering medications addresses symptoms pharmacologically but is not a core cognitive behavioral therapy (CBT) intervention. CBT focuses on modifying thoughts and behaviors, not drug therapy, making this choice incorrect for the specified theoretical approach.
Choice B reason: CBT targets negative thought patterns to modify maladaptive behaviors and emotions, central to treating anxiety. Challenging distorted cognitions helps the patient reframe perceptions, reducing withdrawal, aligning with CBT principles, making this the correct choice.
Choice C reason: Group therapy encourages social interaction but is not a primary CBT intervention. CBT focuses on individual cognitive restructuring, not group dynamics, making this choice less relevant for the specified theoretical approach to anxiety treatment.
Choice D reason: Relaxation techniques are adjunctive in CBT but not the primary focus. Challenging negative thoughts is the core intervention, directly addressing cognitive distortions driving anxiety, making relaxation a secondary approach and this choice incorrect.
Correct Answer is B
Explanation
Choice A reason: Hysterical crying may indicate emotional distress but does not necessarily constitute a behavioral crisis unless it escalates to danger. It reflects an emotional response, not an immediate threat requiring urgent intervention, making it less severe than harm threats.
Choice B reason: Making threats to harm self and others indicates a behavioral crisis, signaling imminent danger due to a mental health condition. This requires immediate intervention to ensure safety, aligning with psychiatric emergency criteria, making this the correct choice.
Choice C reason: Nervous pacing suggests anxiety but does not inherently indicate a behavioral crisis. It lacks the immediate risk of harm to self or others, requiring monitoring but not urgent intervention, making this choice incorrect for a crisis scenario.
Choice D reason: Being wrapped in a blanket during group therapy suggests withdrawal or discomfort, not a behavioral crisis. It does not indicate imminent danger or severe behavioral dysregulation, making it an incorrect choice compared to explicit harm threats.
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