Mental ch 6

Patient says to the nurse, I wonder what's playing at the movie tonight. Therapeutic would be.

Are you telling me you would like to go to the movies?

A patient asked the nurse what she should do about her cheating husband. The nurse replies, you should divorce him. You deserve better than that. The nurse use which communication technique.

Giving advice

The client says to the nurse, I have special powers because I am the mother of God. I can heal everyone in the hospital. The nurse response would be.

It would be unusual for anyone to have that kind of power

The nurse says to the client you've become very anxious when we start talking about your drinking which of the following techniques is the nurse using

Making an observation

Which of the following statements about verbal and nonverbal communication skills is accurate

Nonverbal communication is as important, if not more than, verbal communication.

Which of the following would be an empathetic response in a client interaction

You must have been embarrassed when your father yelled at you in the grocery store

The nurse is trying to obtain some information about family relationships from the client which of the following statements is best

"Tell me your feelings about your family situation."

A patient yells, all the nurses here are so mean. None of you really care about us! The most therapeutic response would be.

"You seem very irritated."

Which of the following statements is true of empathy select all that apply

-It is the ability to place oneself into the experience of another for a moment in time. -It is developed by gathering information from the client.

A nurse has invited a patient to sit down and have a conversation that patient takes the first seat. The nurse pulls up another chair to sit with a patient. Approximately how far from the patient should the nurse place the chair

3-4 feet

Which statement are true of concrete and abstract messages select all that apply

Abstract message, including figures of speech that are difficult to interpret Concrete messages are clear, direct and easy to understand

Which of the following are non-therapeutic techniques to apply

Agreeing Challenging Giving approval

The nurse should use clear concrete message when working with patients displaying which of the following condition select all

Anxiety Dementia Hypochondriasis

The nurse uses a variety of therapeutic communication skills with patients . Which of the following is a therapeutic goal that can be accomplished through the use of therapeutic communication skills ?

Assess the patients perception of a problem

A client is fearful and reluctant to talk. Which of the following techniques is most effective when trying to engage the client and interaction.

Broad opening

Which of the following is the best reason that many psychiatric care units have policies against clients touching one another or staff?

Because some clients with mental illness have difficulty knowing when touch is or is not appropriate

The nurse asked the patient what he would like to talk about this is an example of

Board opening

The client stated, I was so upset about My Sister ignore me when I was talking about being ashamed. Which non-therapeutic communication technique would the nurse be using if the nurse was State , how are stress reduction classes going?

Changing the subject

The patient expresses frustration that the doctor does not spend enough time with the patient when making rounds. The nurse replies, the doctors are very busy. What can I help you with? The nurse incorporated which non-therapeutic technique and this response

Defending

The nurse asked the client what that experience was like. Which communication skill is Nurse using

Encouraging expressions

A patient states right before I got here I was doing all right. My job was going well, my wife and I were happy, and we just moved into a new apartment. The nurse response, you said you and your wife were happy. Tell me more about that. This is an example of which therapeutictechnique

Exploring

Which one of the following goals of therapeutic communication would the nurse strive to attain first?

Facilitate the client's expression of emotions.

A patient remarks you know it's the same thing every time the nurse responds by stating

I'm not sure what you mean please explain

A client has been making sexual comments when communicating with the nurse. The nurse wants to spend some time talking to the patient while respecting the patient's right to privacy. Which setting would be the most appropriate setting for the nurse to talk with client?

In a quiet corner of the day room at least 4 feet away from others

Which of the following distance zones is acceptable for people who mentally desire personal contact

Intimate

The nurse asked the patient what was it like for you? When you first knew you had no place to go? The patient looks down and pauses for quite some time. Which action by the nurse is most therapeutic

Sit quietly until the patient response

The nurse is sitting down with a patient to begin a conversation. Which of the following position should the nurse take to convey acceptance of a patient?

Sitting upright facing the patient with both feet on the floor

The nurse is sitting with a patient who is crying. After a few minutes, the Nurse places one hand on the patient shoulder. Which of the following best describes the purpose of the nurses touch with a patient.

To offer comfort and support for the patient

During the mental status assessment, the client expresses the belief that the CIA is stalking him implants to kidnap him. The best response the nurse would be.

What kind of things have been happening?

A patient is sitting alone,/, with eyes closed. The nurse approaches. Which statement is most likely to encourage patient to talk?

You look like you are in deep thought

A patient states I feel fine. It's a good day. The nurse knows the patient looking away and a decreasing pitch in his voice while speaking, which of the following is the most therapeutic response by the nurse.

You say you feel fine, but you don't really sound fine

A patient says it's been so long since I've been with my family. Which statement by the nurse is an example of restating.

You say you haven't seen your family in a while

During the admission interview, the nurse asked the client what led to this hospitalization. The client responds, they lied to me. They said I murdered my mother. You're the killers. You killed my mother she died before I was born. The best initial response by the nurse would be.

You're having very frightening thoughts

The nurse must be alert to the nonverbal expressions of a client. Because the meaning attached to nonverbal behavior is subjective, it is important for the nurse to.

validate the meaning of the nonverbal behavior.