Exam 4: Therapeutic Communication: Interviews and Interventions

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A patient who has shown good progress with treatment has shown great resistance to being discharged to an outpatient program.Based on an understanding of the underlying pathology of resistance,the nurse:

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A patient indicates that he is about to share information about his illness that is shocking and embarrassing.Which nursing intervention has priority in this situation in facilitating the communication process?

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The novice nurse is learning about the appropriate use of touch with patients experiencing psychiatric disorders.Which statement about touch will provide the nurse with the best basis for successful practice in psychiatric nursing situations?

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The nurse shows an understanding of an essential purpose of therapeutic communication when (select all that apply):

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A nurse is discussing unit expectations with a newly admitted patient diagnosed with poor impulse control.The nurse shows an understanding of the use of body language to convey feelings when documenting that the patient is angry and resistant to authority based on which of the following? Select all that apply.

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During the termination phase of the nurse-patient relationship with a dependent patient,the nurse evaluates the effectiveness of coping techniques learned by:

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A patient whose history includes physically abusing his spouse and children has been admitted to the unit for alcohol and drug dependency.Which nurse will likely experience difficulty establishing a therapeutic relationship with this patient?

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A nurse has for the past 4 weeks been working with a psychotic patient who has been mute and very withdrawn.The patient suddenly encroaches on the nurse's personal space by touching inappropriately.What is the most therapeutic response by the nurse to address this behavior?

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When communicating with a psychotic,schizophrenic patient,the nurse avoids the use of slang phrases most importantly because:

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Which nursing response would indicate an empathetic approach to a patient who is depressed over recent losses in her life?

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