Deck 3: Therapeutic Communication

Question 1

Which action by the nurse, who is first meeting a client, would likely send a nonverbal message that is inappropriate for the therapeutic relationship?

A) The nurse provides eye contact intermittently during the meeting.
B) The nurse is dressed in business casual attire; a tattoo is visible.
C) The nurse offers a handshake during initial interaction with the client.
D) The nurse gives a client a strong hug at the end of the meeting.

Answer 1

The nurse gives a client a strong hug at the end of the meeting.

Question 2

The nurse is providing therapeutic feedback to a client who exhibited an angry outburst in a group setting. Which is appropriate for the nurse to say to the client?

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, and slammed the door."

Answer 2

"During group, you raised your voice, yelled at a peer, and slammed the door."

Question 3

Why is it important for the nurse to demonstrate active listening during a client interaction?

A) The client will be able to understand the nurse's instructions better.
B) The client will feel a sense of trust and acceptance by the nurse.
C) The client will change his or her behavior if active listening is used.
D) The client will be able to provide feedback to the nurse for improvement.

Answer 3

The client will feel a sense of trust and acceptance by the nurse.

Question 4

Which feature distinguishes motivational interviewing from other therapeutic techniques?

A) Motivational interviewing establishes a contract for change.
B) Motivational interviewing is the only patient-centered communication strategy.
C) Motivational interviewing allows the nurse to inform the client's choices.
D) Motivational interviewing focuses on what the client wants.

Question 5

A client begins fasting at 10 p.m. for a blood test the next morning. The morning of the test, the client finds out that it has been canceled. The client uses profanity with the nurse and states, "You are incompetent!" Which is the nurse's best response?

A) "Do you believe that I caused your blood test to be canceled?"
B) "I see that you are upset, but I feel uncomfortable when you swear at me."
C) "Have you ever thought about ways to express anger appropriately?"
D) "I'll give you some space. Let me know if you need anything."

Question 6

Which of the following best represents a patient-centered approach that promotes a change in behavior?

A) Process recordings
B) Providing guidance
C) Motivational interviewing
D) Therapeutic communication

Question 7

A nurse discovers that their newly assigned client is their sibling. What would be the most appropriate step in this nurse-client relationship?

A) Notify the charge nurse of the need to withdraw from the care of the client.
B) Notify the other clients in the unit that the nurse and client are related.
C) Notify the client that they do not need to exchange gifts for the holidays this year.
D) Continue with the care and do not acknowledge the relationship.

Question 8

The nurse has realized that growing up in an alcoholic family may affect his or her ability to care for an individual client. This task is part of what phase of the therapeutic nurse-client relationship?

A) Preinteraction phase
B) Orientation phase
C) Working phase
D) Termination phase

Question 9

The nurse is providing care to the client during the detoxification process and does so without emotion. The nurse does not recognize the client's perception of the care as cold and judgmental. Which quadrant of the Johari window would this be considered?

A) Open self
B) Unknowing self
C) Private self
D) Unknown self

Question 10

Which elements must be proven for a plaintiff to prevail in a nursing malpractice suit? Select all that apply.

A) Breach of duty
B) Battery
C) Assault
D) Injury to client
E) Negligence
F) Duty to client existed

Question 11

The psychiatric-mental health nurse is obtaining informed consent for a client who is scheduled for ECT the following morning. Which major elements must be
Addressed when obtaining informed consent? Select all that apply.

A) Client signature and date
B) Physician order
C) Lack of coercion
D) Unimpaired cognition
E) Necessity for treatment
F) Client knowledge of the procedure