Mental Health - Building Therapeutic Relationships

A nurse is interviewing a client who is contemplating a behavior change. Which of the following statements should the nurse make to engage with the client?

A. "Tell me about the things that are important to you in your life."

A nurse wants to improve their therapeutic communication by implementing the use of bias-free language. Which of the following actions should the nurse take to provide bias-free language?

A. Ask the client how they prefer to be addressed

A nurse is seeking to improve outcomes in mental health by incorporating technology as a part of primary prevention interventions. Which of the following actions should the nurse take?

A. Distribute a video discussing risk factors for suicide and depression at a local high school.

A nurse is working in a mental health facility in an occupational role. Which of the following activities is a function of the occupational role of the nurse?

A. Educating a client on risk factors

A nurse is researching methods of incorporating technology in their nursing practice. Which of the following strategies should the nurse use to incorporate technology in nursing care?

A. Implement a client-centered self-schedule smartphone application.

A nurse is researching methods of incorporating technology in their nursing practice. Which of the following strategies should the nurse use to incorporate technology in nursing care?

A. Implement a video conferencing policy for clients in rural locations.

A nurse manager is teaching a newly licensed nurse about ways to provide culturally competent care for clients. Which of the following instructions should the nurse manager include in the teaching?

A. Seek assistance from an interpreter for language barriers.

A nurse is using the Cultural Formulation Interview (CFI) tool while collecting a health history from a client who is from a different culture than the nurse. Which of the following statements should the nurse make?

B. "I am wondering what you believe the cause of the problem is."

A nurse is preparing to interview a client and is reviewing therapeutic communication techniques. Which of the following should the nurse include in the interview to encourage the client to continue sharing feelings and information?

B. "What are some of the stressors that you have in your life?"

A nurse is participating in an interdisciplinary team meeting for clients on the unit. Which of the following actions should the nurse recommend to improve equity among the clients?

B. Provide free or low-cost treatment options for all clients.

A nurse is reflecting on their performance after engaging with a client in an interview. Which of the following actions should the nurse plan to implement to improve receptiveness in their next client interview?

B. Sit at a slight angle across from the client.

A nurse is assisting a client to develop a plan to reduce caloric intake. Which of the following interventions should the nurse include in the plan as a measurable goal for this client?

B. The client will record consuming no more than 1,800 calories per day.

A nurse is seeking to improve outcomes in mental health care by integrating technology in a local clinic. Which of the following actions should the nurse take to incorporate technology as a part of secondary prevention interventions?

B. Utilize a video conferencing application to perform a suicide risk screening.

A nurse is caring for a client who states, "I really like you. Can we get together socially after I am discharged?" Which of the following responses should the nurse make?

C. "I appreciate your comment. However, I am your nurse, and it would be inappropriate for us to engage socially outside of treatment."

A nurse is caring for a client who states, "I don't think medications are for me." Which of the following statements should the nurse make?

C. "Tell me more about what you feel would work best for you."

A nurse is interviewing a client who states they are thinking about smoking cessation by using patches. Which of the following responses should the nurse use to focus with the client?

C. "This might not be the best method for you, but we can discuss some options that others have found to be helpful."

A nurse manager is providing teaching to a group of newly licensed nurses about organizational culture. Which of the following statements by a newly licensed nurse indicates an understanding of organizational culture?

C. "This organization believes that each client should be at the center of their own care."

A nurse is admitting a new client. Which of the following actions should the nurse take during the orientation phase of the nurse-client relationship?

C. Establish boundaries.

A nurse is participating in an interdisciplinary team meeting for clients on the unit. Which of the following actions should the nurse recommend to improve inclusion among the treatment team?

C. Include discussion of the clients' spiritual needs in team meetings.

A nurse is participating in an interdisciplinary team meeting for clients on the unit. Which of the following actions should the nurse recommend to improve diversity among the treatment team?

C. Integrate clinicians from various cultural backgrounds into the team meeting.

A nurse is seeking to improve outcomes in mental health care by integrating technology in a local clinic. Which of the following actions should the nurse take to incorporate technology as a part of tertiary prevention interventions?

C. Refer clients to a support group that meets on social media.

A nurse is interviewing a client who states they are unsure whether they should continue with their medication therapy. Which of the following responses should the nurse make to evoke client motivation?

D. "On a scale of 0 to 10, how confident are you that you could adhere to your medication regimen if you tried?"

A nurse is using the Cultural Formulation Interview (CFI) tool while collecting a health history from a client who is from a culture different than the nurse. Which of the following statements should the nurse make?

D. "Tell me some of the coping skills that have previously helped you."

A nurse is preparing to interview a client and is reviewing therapeutic communication techniques. Which of the following statements should the nurse make to affirm the client's behavior change?

D. "You completed your antibiotic regimen. You are serious about improving your health."

A nurse is caring for a client who is from a different culture than them. Which of the following actions should the nurse take to provide culturally competent care?

D. Contact an interpreter if the client does not respond to nonverbal communication cues.

A nurse is interviewing a client who is irritable and agitated. Which of the following actions should the nurse take to portray engagement with the client?

D. Give a slight nod throughout the interview.

A nurse is preparing to discharge a client. Which of the following actions should the nurse plan to take to improve the client's level of functioning beyond the nurse-client relationship?

D. Provide community resource referrals.

A nurse is using considerations from Leininger's Transcultural Nursing Theory to plan care for a client who is from a different culture than the nurse. Which of the following actions should the nurse plan to take to demonstrate the consideration of cultural preservation?

D. Request specific meal tray items to support the client's spiritual beliefs.

A nurse is helping a client develop a plan for successful behavior change. Which of the following interventions should the nurse include in the plan?

D. Schedule an appointment with a provider who lives within walking distance of the client.

A nurse is working to build rapport and trust with a new client. Which of the following actions by the nurse could serve as a barrier to building rapport?

D. The nurse uses clinical terminology to help the client better understand their diagnosis.