MH - THERAPEUTIC COMMUNICATION NCLEX. ALL EXAM REVISION QUESTIONS AND CORRECT ANSWERS (ALREADY GRADED A+) (2024 UPDATE) 100% GUARANTEED
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Course
THERAPEUTIC COMMUNICATION
Institution
THERAPEUTIC COMMUNICATION
MH - THERAPEUTIC COMMUNICATION NCLEX. ALL EXAM REVISION
QUESTIONS AND CORRECT ANSWERS (ALREADY GRADED A+) (2024 UPDATE)
100% GUARANTEED
The nurse is completing the sexual history section of the admission assessment. The client tells the
nurse "I don't want to talk about this. This is private be...
MH - THERAPEUTIC COMMUNICATION NCLEX. ALL EXAM REVISION
QUESTIONS AND CORRECT ANSWERS (ALREADY GRADED A+) (2024 UPDATE)
100% GUARANTEED
The nurse is completing the sexual history section of the admission assessment. The client tells the
nurse "I don't want to talk about this. This is private between my spouse and me." Which nurse
response reflects empathy?
A "Yes, I know just how you feel."
B "I know some of these questions are difficult for you."
C "I am a professional nurse and I know what I am doing."
D "I understand this is difficult for you to talk about, but I have to complete the admission
assessment." - ANSWER- B
1. "Yes, I know just how you feel." This response shifts the focus from the client to the nurse,
which is nontherapeutic.
2. "I understand this is difficult for you to talk about, but I have to complete the admission
assessment." The nurse's need to complete the admission assessment does not take precedence
over the client's feelings.
3. "I know some of these questions are difficult for you." This statement is empathic and
acknowledges the client's feelings.
4. "I am a professional nurse and I know what I am doing." This statement negates the client's
feelings and is nontherapeutic.
To provide effective feedback to a client, the nurse will focus on:
A The client.
,B Making inferences of the behaviors observed.
C Providing solutions to the client.
D The present and not the past. - ANSWER- D
1. The client. To provide nonthreatening feedback, the focus should be on the behavior and not the
client.
2. The present and not the past. Focusing on the here and now makes the feedback more
meaningful. Feedback should be given as soon as it is appropriate to do so.
3. Providing solutions to the client. Assisting the client with identifying possible alternatives or
goals for a problem is more effective than giving the client the answers. Providing solutions to the
client gives the message that the client is not capable of doing so.
4. Making inferences of the behaviors observed. Inferences imply conclusions and assumptions
and don't give the client an opportunity to explain a situation.
The use of facial expressions and gestures communicates:
A Personality traits.
B Interest in, and attraction to, another person.
C Rejection.
D Emotions. - ANSWER- D
1. Personality traits. Voice quality and tone reflect an individual's personality. People who vary
their tone and increase their rate of speech are viewed as active and dynamic.
,2. Interest in, and attraction to, another person. Body position reveals an individual's interest in or
attraction to another person. The person who sits or stands far away from another person attempts
interpersonal distance. Sitting in close proximity to another person usually indicates attraction.
3. Emotions. Facial expressions are the most important nonverbal communication and convey
emotions.
4. Rejection. Averting eye contact with another individual conveys the message of rejection of the
other person's request.
Which approach reflects an obstacle to effective nurse-patient communication?
1 Discussing fears about a patient with members of the health care team
2 Obtaining information about a critically ill patient from his or her family
3 Admitting a mistake to a patient's family
4 Avoiding issues that are uncomfortable for a patient - ANSWER- 4 Rationale: A therapeutic
nurse-patient relationship is goal directed. It can also include the need to help a patient discuss any
pertinent topics, whether comfortable or uncomfortable.
The nurse is caring for a postoperative patient who is still having pain despite analgesia
administration. Which statement by the nurse best reflects therapeutic communication?
1 "I think your doctor needs to know that you're still in pain."
2 "What do you want me to do about your pain problem?"
3 "When it comes to pain, your doctor tends to undermedicate his patients."
, 4 "Your pain will be a lot better in the morning." - ANSWER- 1 Rationale: Therapeutic
communication is goal directed, which in this situation is better pain management for the patient.
A patient recovering from a bilateral mastectomy for breast cancer tearfully tells the nurse that she
is feeling depressed and worthless as a woman. Which communication phrase is not effective?
1 "Many women have body image concerns after undergoing this surgery."
2 "Tell me more about how you feel."
3 "Why do you feel depressed and worthless?"
4 "How long have you been feeling this way?" - ANSWER- 3 Rationale: The use of "why"
questions may cause defensiveness in the patient and hinder communication. The other options
promote communication by encouraging the patient to communicate.
Which initial approach would be best when working with an anxious patient?
1 Tell the patient that everything he or she says will be kept private.
2 Ask the patient what he or she believes is causing his or her anxiety.
3 Watch the patient's behavior for the amount of anxiety being exhibited.
4 Explain what the patient can expect in terms that he or she can understand. - ANSWER- 3
Rationale: The nurse needs to first assess the level of anxiety so appropriate communication
techniques and strategies can be used. The patient may not have the insight to understand what is
currently causing his or her behavior.
A nurse is working with a potentially threatening patient. Which nursing intervention is most
appropriate?
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