Chapter 8 Flashcards
Which therapeutic communication technique is being used in this nurse–client interaction?
Client: “When I get angry, I get into a fistfight with my wife or I take it out on the kids.”
Nurse: “I notice that you are smiling as you talk about this physical violence.”
A.Encouraging comparison
B.Exploring
C.Formulating a plan of action
D.Making observations
D
Which therapeutic communication technique is being used in this nurse–client interaction?
Client: “My father spanked me often.”
Nurse: “Your father was a harsh disciplinarian.”
A. Restatement
B.Offering general leads
C.Focusing
D.Accepting
A
Which therapeutic communication technique is being used in this nurse–client interaction?
Client: “When I am anxious, the only thing that calms me down is alcohol.”
Nurse: “Other than drinking, what alternatives have you explored to decrease anxiety?”
A.Reflecting
B.Making observations
C.Formulating a plan of action
D.Giving recognition
C
The nurse is interviewing a newly admitted psychiatric client. Which nursing statement is an example of offering a “general lead”?
A.“Do you know why you are here?”
B.“Are you feeling depressed or anxious?”
C.“Yes, I see. Go on.”
D.“Can you chronologically order the events that led to your admission?”
C
A nurse states to a client, “Things will look better tomorrow after a good night’s sleep.” This is an example of which communication technique?
A.The therapeutic technique of “giving advice”
B.The therapeutic technique of “defending”
C.The nontherapeutic technique of “presenting reality”
D.The nontherapeutic technique of “giving false reassurance”
D
A client diagnosed with post-traumatic stress disorder is admitted to an inpatient psychiatric unit for evaluation and medication stabilization. Which therapeutic communication technique used by the nurse is an example of a broad opening?
A.“What occurred prior to the rape, and when did you go to the emergency department?”
B.“What would you like to talk about?”
C.“I notice you seem uncomfortable discussing this.”
D.“How can we help you feel safe during your stay here?”
B
A nurse is assessing a client diagnosed with schizophrenia for the presence of hallucinations. Which therapeutic communication technique used by the nurse is an example of making observations?
A.“You appear to be talking to someone I do not see.”
B.“Please describe what you are seeing.”
C.“Why do you continually look in the corner of this room?”
D.“If you hum a tune, the voices may not be so distracting.”
A
A nurse maintains an uncrossed arm and leg posture. This nonverbal behavior is reflective of which letter of the SOLER acronym for active listening?
A.S B.O C.L D.E E.R
B
An instructor is correcting a nursing student’s clinical worksheet. Which instructor statement is the best example of effective feedback?
A.“Why did you use the client’s name on your clinical worksheet?”
B.“You were very careless to refer to your client by name on your clinical worksheet.”
C.“Surely you didn’t do this deliberately, but you breeched confidentiality by using the client’s name.”
D.“It is disappointing that after being told, you’re still using client names on your worksheet.”
C
After assertiveness training, a formerly passive client appropriately confronts a peer in group therapy. The group leader states, “I’m so proud of you for being assertive. You are so good!” Which communication technique has the leader employed?
A.The nontherapeutic technique of giving approval
B.The nontherapeutic technique of interpreting
C.The therapeutic technique of presenting reality
D.The therapeutic technique of making observations
A
What is the purpose of a nurse providing appropriate feedback?
A.To give the client good advice
B.To advise the client on appropriate behaviors
C.To evaluate the client’s behavior
D.To give the client critical information
D
A client who frequently exhibits angry outbursts is diagnosed with antisocial personality disorder. Which appropriate feedback should a nurse provide when this client experiences an angry outburst?
A.“Why do you continue to alienate your peers by your angry outbursts?”
B.“You accomplish nothing when you lose your temper like that.”
C.“Showing your anger in that manner is very childish and insensitive.”
D.“During group, you raised your voice, yelled at a peer, left, and slammed the door.”
D
A client diagnosed with dependant personality disorder states, “Do you think I should move from my parent’s house and get a job?” Which nursing response is most appropriate?
A.“It would be best to do that in order to increase independence.”
B.“Why would you want to leave a secure home?”
C.“Let’s discuss and explore all of your options.”
D.“I’m afraid you would feel very guilty leaving your parents.”
C
When interviewing a client, which nonverbal behavior should a nurse employ?
A.Maintaining indirect eye contact with the client
B.Providing space by leaning back away from the client
C.Sitting squarely, facing the client
D.Maintaining open posture with arms and legs crossed
C
A mother rescues two of her four children from a house fire. In the emergency department, she cries, “I should have gone back in to get them. I should have died, not them.” What is the nurse’s best response?
A.“The smoke was too thick. You couldn’t have gone back in.”
B.“You’re feeling guilty because you weren’t able to save your children.”
C.“Focus on the fact that you could have lost all four of your children.”
D.“It’s best if you try not to think about what happened. Try to move on.”
B
