Which principle should guide the nurse in determining the extent of silence to use during patient interview sessions?
Silence helps patients know that what they said was understood.
Patients withdraw if silences are prolonged.
Silence can provide meaningful moments for reflection.
A nurse is responsible for breaking silences.
The Correct Answer is C
Choice A reason: While silence may sometimes convey understanding, its primary therapeutic purpose in communication is to allow the patient time to think or reflect, not simply to indicate understanding.
Choice B reason: Prolonged silence may cause withdrawal in some patients, but this is not the guiding principle in therapeutic communication. The focus should be on the value of reflection.
Choice C reason: Silence provides the patient with opportunities for reflection and processing of thoughts and emotions. It encourages deeper expression and supports therapeutic dialogue.
Choice D reason: The nurse is not always responsible for breaking silence. Sometimes allowing the patient to break the silence themselves is more therapeutic and empowering.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: NANDA-I provides standardized nursing diagnoses but does not list or categorize symptoms for specific psychiatric disorders.
Choice B reason: The Nursing Outcomes Classification focuses on measurable patient outcomes after interventions, not on identifying symptoms of mental disorders.
Choice C reason: The Nursing Interventions Classification outlines evidence-based nursing actions and strategies, but it does not define or organize psychiatric symptoms.
Choice D reason: The DSM-5 (Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition) is the authoritative resource for identifying and categorizing symptoms of mental disorders. It provides diagnostic criteria and symptom patterns for each psychiatric condition, making it the correct choice.
Correct Answer is A
Explanation
Choice A reason: The superego internalizes societal and parental standards of right and wrong. It guides moral development and can produce guilt when standards are violated or pride when they are upheld.
Choice B reason: The pleasure principle refers to the id, which seeks immediate gratification of desires without considering consequences. This does not describe the superego.
Choice C reason: The ego, not the superego, mediates between the id, superego, and external reality. It works on the reality principle to balance impulses with acceptable behavior.
Choice D reason: Defense mechanisms are managed by the ego, not the superego. They protect against anxiety but are not the superego’s primary function.
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