Therapeutic Communication & Relationship Practice Q's

Which behavior by a UAP reflects a boundary violation?

Accepting a gift from the client

Which intervention would the nurse use for a client who has pressured speech and mumbles incoherently?

Indicate to the client that slowing down helps others understand the verbal communication

Which culturally-based behavior would the nurse expect to observe in an Asian client who has symptoms of anxiety and panic?

Minimal eye contact

Which behavior indicates a nurse may be experiencing countertransference with a client?

Nurse feels angry when a spouse is terse with the client

Which issue is the main problem for a client who is withdrawn and declines participation in situations that require communication with others?

Social interaction

Which action would the nurse take for a client with panic disorder who jumps when spoken to, reports feeling uneasy, and says, "It's as though something bad is going to happen"?

Stay with the client to be a calming presence

Which Nursing action best prepares a client for the termination of the therapeutic relationship?

Telling the client during the 1st meeting how long the therapeutic relationship will last

Which nursing action best prepares a client for termination of the therapeutic relationship?

Telling the client during the first meeting how long the therapeutic relationship will last

Which response would the occupational health nurse make when the new employee exhibits a moderate level of anxiety and verbalizes extreme nervousness about starting the new job?

"Feeling upset about starting a new job can be difficult"

Which response would the nurse make to a depressed client who asks, "Do you think they'll ever let me out of here"?

"How do you feel about leaving here?"

A patient says, "I've done a lot of cheating and manipulating in my relationships." Select a nonjudgmental response by the nurse.

"How do you feel about that?"

Which statement demonstrates that a psychiatric nurse has successfully fostered a therapeutic nurse-client relationship?

"My clients and I are partners in the planning that helps meet their physical and mental health needs"

Which statement by the nurse reflects understanding of therapeutic communication with a client experiencing domestic violence?

"Tell me about your struggles"

Which statement by the nurse reflects understanding of therapeutic communication with a client experiencing domestic violence? Select all that apply. One, some or of the responses may be correct.

"Tell me about your struggles"

Which response would the nurse make to a client who says, "I suppose you're going to ask me about my suicide attempt?"

"Tell me how you feel about it."

A nurse explains to the family of a patient who is mentally ill how the nurse-patient relationship differs from social relationships. Which is the best explanation?

"The focus is on the patient. Problems are discussed by the nurse and patient, but solutions are implemented by the patient."

During an interview, a patient attempts to shift the focus from self to the nurse by asking personal questions. The nurse should respond by saying:

"The time we spend together is to discuss your concerns"

A patient tells the nurse, "I don't think I will ever get out of here." Select the nurse's most therapeutic response.

"You don't think you're making progress?"

A woman who is frequently physically abused says, "It's my fault that my husband beats me." Which response would the nurse use?

"You say that it was your fault- help me understand that"

Which response would the nurse make to the client with acute depression who says, "God is punishing me for my past sins"

"You sound very upset about this"

A nurse should introduce the matter of a contract during the first session with a new patient because contracts:

*b. spell out the participation and responsibilities of each party*

A patient says to the nurse, "I dreamed I was stoned. When I woke up, I felt emotionally drained, as though I hadn't rested well." Which response should the nurse use to clarify the patient's comment? a. "It sounds as though you were uncomfortable with the content of your dream." b. "I understand what you're saying. Bad dreams leave me feeling tired, too." c. "So you feel as though you did not get enough quality sleep last night?" d. "Can you give me an example of what you mean by 'stoned'?"

*d. "Can you give me an example of what you mean by 'stoned'?"*

A patient diagnosed with schizophrenia tells the nurse, "The CIA is monitoring us through the fluorescent lights in this room. Be careful what you say." Which response by the nurse would be the most therapeutic?

*d. "It sounds like you're concerned about your privacy."*

According to the model of the nurse-client relationship, which behaviors would the nurse expect the client to do during the working phase?

-Initiate topics of discussion -Accept limits on unacceptable behavior -Express emotions related to transference

A patient cries as the nurse explores the patient's relationship with a deceased parent. The patient says, "I shouldn't be crying like this. It happened a long time ago." Which responses by the nurse will facilitate communication? (Select all that apply.) A "Why do you think you are so upset?" B. "I can see that you feel sad about this situation." C. "The loss of your parent is very painful for you." D. "Crying is a way of expressing the hurt you're experiencing." E. "Let's talk about something else because this subject is upsetting you."

B,C,D: B. "I can see that you feel sad about this situation." C. "The loss of your parent is very painful for you." D. "Crying is a way of expressing the hurt you're experiencing."

Which behavior indicates that a client who has bipolar disorder with episodes of mania has entered the working stage of the nurse-client relationship?

Client explores the effect of bipolar behavior on the family

Which outcome statement indicates that the client is successful in overcoming a psychological barrier that is causing problems in communicating with others?

Client interacts appropriately with others in the therapeutic milieu

The nurse says, "I got depressed too when I was diagnosed with caner several years ago." Which outcome would the nurse hope to achieve with this brief self-disclosure of personal info?

Client realizes that such feelings are experienced by others

Which strategy would the nurse use to help a depressed, withdrawn client who exhibits sadness through nonverbal behavior?

Cope with painful feelings by sharing them

Which technique will best communicate to a patient that the nurse is interested in listening?

Restate a feeling or thought the patient has expressed

The nurse says, "Let's see whether we both mean the same thing." Which communication technique is the nurse using?

Seeking consensual validation

Which element is the basic therapeutic tool that the nurse uses to foster a client's ability cope?

Self

Which quality is the most important tool the nurse brings to the therapeutic nurse-client relationship?

The self and a desire to help

Which statement best describes the goal of psychiatric nursing?

To help people with existing or potential mental health problems

A patient is having difficulty making a decision. The nurse has mixed feelings about whether to provide advice. Which principle usually applies? Giving advice:

is rarely helpful