Which technique will best communicate to a patient that the nurse is interested in listening?

Making a judgment about the patient's problem.

Restating a feeling or thought the patient has expressed.

Asking a direct question, such as "Did you feel angry?"

Saying "I understand what you're saying"

Answer and Explanation

The Correct Answer is B

A. Judging the patient can shut down communication and make the patient feel defensive rather than heard.

B. This technique, also called reflective listening, shows the patient that the nurse is actively listening and trying to understand their perspective, encouraging further expression.

C. Direct questions can be useful, but they may limit patient expression and can feel leading rather than supportive.

D. While intended to show empathy, this phrase can be perceived as dismissive if the nurse has not fully explored the patient’s feelings.

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Correct Answer is C

Explanation

A. Singing carols is calm, unlikely to trigger combat-related flashbacks.
B. A seashore outing is generally peaceful and not typically a PTSD trigger.
C. Fireworks mimic gunfire and explosions, which can easily trigger flashbacks, hypervigilance, and distress in combat veterans with PTSD.
D. Halloween can be stimulating, but not as direct a combat reminder as fireworks.

A. "I hate all of you!" B. "The other patient started the fight." C. "You wait until I tell my lawyer." D. "My fingers are tingly."

Correct Answer is D

Explanation

A. "I hate all of you!" –This reflects the patient’s anger and hostility, which is expected after being restrained. While it requires therapeutic communication, it does not signal a medical emergency.

B. "The other patient started the fight." – This statement is defensive and attempts to shift blame. Although it provides insight into the patient’s thought process, it is not urgent from a physiological standpoint.

C. "You wait until I tell my lawyer." – This reflects frustration and a threat of legal action. It is important for documentation and de-escalation but does not require immediate clinical intervention.

D. "My fingers are tingly." – This is the highest priority because it indicates impaired circulation or nerve compression related to the restraints. Tingling, numbness, coolness, or pallor are warning signs that restraints are too tight or causing neurovascular compromise. This can lead to permanent injury if not corrected promptly.

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Which technique will best communicate to a patient that the nurse is interested in listening?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

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