Mental Health Ch 9 (Therapeutic Communication) - NCLEX style questions

Which of the following statements represent a non-therapeutic communication technique? Select all that apply. ---- a. "Why didn't you attend group this morning?" b. "From what you have said, you have great difficulty sleeping at night." c. "What did your boyfriend do that made you leave? Are you angry at him? Did he abuse you in some way?" d. "If I were you, I would quit the stressful job and find something else." e. "I'm really proud of you for the way you stood up to your brother when he visited today." f. "You mentioned that you have never had friends. Tell me more about that." g. "It sounds like you have been having a very hard time at home lately."

a. "Why didn't you attend group this morning?" ----- c. "What did your boyfriend do that made you leave? Are you angry at him? Did he abuse you in some way?" ----- d. "If I were you, I would quit the stressful job and find something else." ----- e. "I'm really proud of you for the way you stood up to your brother when he visited today." f. "You mentioned that you have never had friends. Tell me more about that." ----- g. "It sounds like you have been having a very hard time at home lately."

When preparing to hold an admission interview with a client, the nurse pulls up a chair and sits facing the client with his or her 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? ---- a. The nurse violated the client's personal space by physically being too close. b. The client has issues with sharing personal information. c. The nurse failed to explain the purpose of the admission interview. d. The client is responding to the voices by ending the conversation.

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

A 55-year-old patient recently came to the United States from England on a work visa. The patient was admitted for severe depression following the death of a life partner weeks ago. While discussing the death and its effects the patient shows little emotion. Which of the following explanations is most plausible for this lack of emotion? ---- a. The patient in denial. b. The response may reflect cultural norms. c. The response may reflect personal guilt. d. The patient may have an antisocial personality.

b. The response may reflect cultural norms.

A patient is sitting with arms crossed over his or her chest, his or her left leg is rapidly moving up and down, and there is an angry expression on his or her face. When approached by the nurse, the patient states harshly, "I'm fine! Everything's great." Which statement related to communication should the nurse focus on when working with this patient? ---- a. Verbal communication is always more accurate than nonverbal communication. b. Verbal communication is more straightforward, whereas nonverbal communication does not portray what a person is thinking. c. Nonverbal and verbal communication may be different; nurses must pay attention to the nonverbal communication being presented to get an accurate message. d. Nonverbal communication is about 10% of all communication, and verbal communication is about 90%.

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

A patient is presenting with behaviors that indicate anger. When approached, the patient states harshly, "I'm fine! Everything's great." Which response should the nurse provide to the patient? ---- a. "Okay, but we are all here to help you, so come get one of the staff if you need to talk." b. "I'm glad everything is good. I am going to give you your schedule for the day and we can discuss how the groups are going." c. "I don't believe you. You are not being truthful with me." d. "It looks as though you are saying one thing but feeling another. Can you tell me what may be upsetting you?"

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