Exam 1 NUR201

A recent immigrant to the United States from which country would tend to display little facial emotion when dealing with emotional stress?

Germany

A client is presenting with behaviors that indicate anger. When approached, the client states harshly, "I'm fine! Everything's great." Which response should the nurse provide to the client?

"It looks as though you are saying one thing but feeling another. Can you tell me what may be upsetting you?"

What is the most helpful nursing response to a client who reports thinking of dropping out of college because it is too stressful?

"School is stressful. What do you find most stressful?"

Which of the following statements represent a nontherapeutic communication technique? (Select all that apply.)

"What did your boyfriend do that made you leave? Are you angry at him? Did he abuse you in some way?" "Why didn't you attend group this morning?" "If I were you, I would quit the stressful job and find something else."

Of the following environments, which would be most conducive to a therapeutic session?

A quiet section of the day room

With which client should the nurse make the assessment that not using touch would probably be in the client's best interests?

A very private client

During a clinical interview the client falls silent after disclosing that she was sexually abused as a child. The nurse should engage in which intervention in response to the client's silence?

Allow the client to break the silence.

Which communication techniques should the nurse use with a client who has been identified as having difficulty expressing thoughts and feelings?

Asking open-ended questions and seeking clarification

When discussing her husband, a client shares that "I would be better off alone. At least I would be able to come and go as I please and not have to be interrogated all the time." What therapeutic communication technique is the nurse using when responding, "Are you saying that things would be better if you left your husband?"

Clarification

After a client discusses a personal relationship with a parent, the nurse asks, "Tell me if I'm correct that you feel dominated and controlled by this person?" What is the purpose of the nurse's question?

Clarifying the message

During a therapeutic encounter, the nurse makes an effort to ensure the use of two congruent levels of communication. What is the rationale for this?

Content of messages may be contradicted by process.

A client is sitting with arms crossed over their chest, with their left leg is rapidly moving up and down, and there is an angry facial expression. When approached by the nurse, the client states harshly, "I'm fine! Everything's great." Which statement related to communication should the nurse focus on when working with this client?

Nonverbal and verbal communication may be different; nurses must pay attention to the nonverbal communication being presented to get an accurate message.

The client makes the decision to sit about 5 feet away from the nurse during the assessment interview. The nurse can accurately make what assumption about the client's perception of the nurse?

They view the nurse as a stranger

During a therapeutic encounter the nurse remarks to a client, "I noticed anger in your voice when you spoke of your father. Tell me about that." What communication techniques is the nurse using?

Reflecting and exploring

The preferred seating arrangement for a nurse-client interview should incorporate which positioning?

The nurse and client sitting at a 90-degree angle to each other.

When preparing to hold an admission interview with a client, the nurse pulls up a chair and sits facing the client with their knees almost touching. When the nurse leans in close to speak, the client becomes visibly flustered and gets up and leaves the room. What is the most likely explanation for client's behavior?

The nurse violated the client's personal space by physically being too close.

What is the focus during clinical supervision?

The nurse's behavior in the nurse-client relationship

A 55-year-old client recently came to the United States from England on a work visa. The client was admitted for severe depression following the death of a life partner weeks ago. While discussing the death and its effects the client shows little emotion. Which of the following explanations is most plausible for this lack of emotion?

The response may reflect cultural norms.

What therapeutic communication technique is the nurse using by asking a newly admitted client, "Can you tell me what was happening to you that led to your being hospitalized here?"

Using an open-ended question