NCLEX questions therapeutic communication

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1. "You've A patient with a diagnosis of major depression 5. "You're A patient diagnosed with terminal cancer
been who has attempted suicide says to the nurse, "I feeling angry says to the nurse "I'm going to die, and I wish
feeling should have died! I've always been a failure. that your my family would stop hoping for a cure! I get
like a Nothing ever goes right for me." Which response family so angry when they carry on like this. After
failure for demonstrates therapeutic communication? continues to all, I'm the one who's dying." Which response
a while?" hope for you by the nurse is therapeutic?
A "You have everything to live for." to be cured?"
B "Why do you see yourself as a failure?" A "Have you shared your feelings with your
C "Feeling like this is all part of being family?"
depressed." B "I think we should talk more about your
D. "You've been feeling like a failure for a while?" anger with your family."
C "You're feeling angry that your family
2. "You're When the community health nurse visits a patient
continues to hope for you to be cured?"
having at home, the patient states, "I haven't slept the
D "You are probably very depressed, which is
difficulty last couple of nights." Which response by the
understandable with such a diagnosis."
sleeping?" nurse illustrates a therapeutic communication
response to this patient. 6. A willingness On review of the patient's record, the nurse
to participate notes the admission was voluntary. Based on
A "I see." in the this information, the nurse anticipates which
B "Really?" planning of patient behavior?
C. "You're having difficulty sleeping?" the care and
D "Sometimes, I have trouble sleeping too." treatment A Fearfulness regarding treatment measures.
plan. B Anger and aggressiveness directed toward
3. Using A patient experiencing disturbed thought
others.
open- processes believes that his food is being
C An understanding of the pathology and
ended poisoned. Which communication technique
symptoms of the diagnosis.
questions should the use to encourage the patient to eat?
D A willingness to participate in the planning
and
of the care and treatment plan.
silence A Using open-ended questions and silence
B Sharing personal preference regarding food 7. Contact the A patient admitted voluntarily for treatment
choices patient's of an anxiety disorder demands to be
C Documenting reasons why the patient does not health care released from the hospital. Which action
want to eat provider should the nurse take INITIALLY?
D Offering opinions about the necessity of (HCP).
adequate nutrition A Contact the patient's health care provider
(HCP).
4. Denial A patient admitted to a mental health unit for
B Call the patient's family to arrange for
treatment of psychotic behavior spends hours at
transportations.
the locked exit door shouting. "Let me out. There's
C Attempt to persuade the patient to stay for
nothing wrong with me. I don't belong here."
only a few more days.
What defense mechanism is the patient
D Tell the patient that leaving would likely
implementing?
result in an involuntary commitment.
A Denial
B Projection
C Regression
D Rationalization
8. Monitor When reviewing the admission assessment, 12. A written defamation Libel
closely for the nurse notes that a patient was admitted to of a person's
harm to self the mental health unity involuntarily. Based character, reputation,
or others. on this type of admission, the nurse should business, or property
provide which intervention for this patient? rights.
13. Spoken defamation Slander
A Monitor closely for harm to self or others.
B Assist in completing an application for 14. Illegal touching of battery
admission. another person
C Supply the patient with written information 15. A threatened or assault
about their mental illness. attempted physical
D Provide an opportunity for the family to attack by someone
discuss why they felt the admission was who appears to be
needed. able to cause bodily
9. Making The nurse is preparing a patient for the harm if not stopped
appropriate termination phase of the nurse-patient 16. A Restating The nurse in the mental health unit
referrals relationship. The nurse prepares to implement B Listening recognizes which of the following as
which nursing task that is MOST D Maintaining neutral therapeutic communication
APPROPRIATE for this phase? responses techniques? Select all that apply.
E Providing
A Planning short-term goals acknowledgment and A Restating
B Making appropriate referrals feedback B Listening
C Developing realistic solutions C Asking the patient "Why?"
D Identifying expected outcomes D Maintaining neutral responses
10. "I can not The nurse employed in a mental health clinic E Providing acknowledgment and
discuss any is greeted by a neighbor in a local grocery feedback
patient store. The neighbors says to the nurse, "How F Giving advice and approval or
situation with is Mary doing? She is my best friend and is disapproval
you." seen at your clinic every week." Which is the 17. Denial A patient being seen in the
MOST APPROPRIATE nursing response? emergency department immediately
after being sexually assaulted
A "I can not discuss any patient situation with appears calm and controlled. The
you." nurse analyzes this behavior as
B "If you want to know about Mary, you need indicating which defense
t ask her yourself." mechanism?
C "Only because you're worried about a
friend, I'll tell you that she is improving." A Denial
D "Being her friend, you know she is having a B Projection
difficult time and deserves her privacy." C Rationalization
11. B Battery The nurse calls security and has physical D Intellectualization
C Assault restraints applied when a client who was
E False admitted voluntarily becomes both
Imprisonment physically and verbally abusive while
demanding to be discharged from the
hospital. Which represents the possible legal
ramifications for the nurse associated with
these interventions? Select all that apply.

A Libel
B Battery
C Assault
D Slander
E False Imprisonment
18. In the termination phase, the relationship A patient's 20. Making Which therapeutic communication technique
comes to a close. Ending treatment unresolved observations is being used in this nurse-client interaction?
sometimes may be traumatic for patients feelings Client: "When I get angry, I get into a fistfight
who have come to value the relationship related to loss with my wife or I take it out on the kids."
and the help. Because loss is an issue, any would be Nurse: "I notice that you are smiling as you
unresolved feelings related to loss may MOST LIKELY talk about this physical violence."
resurface during this phase. The remaining observed
options are not specifically associated during which A Encouraging comparison
with this issue of unresolved feelings. phase of the B Exploring
therapeutic C Formulating a plan of action
nurse-patient D Making observations
relationship?
21. Restatement Which therapeutic communication technique
is being used in this nurse-client interaction?
A Trusting
Client: "My father spanked me often." Nurse:
B Working
"Your father was a harsh disciplinarian."
C Orientation
D Termination
A Restatement
19. "Being respectful and concerned will Which B Offering general leads
ensure that I'm attentive to my patient's statement C Focusing
rights." demonstrates D Accepting
the BEST
22. Formulating Which therapeutic communication technique
understanding
a plan of is being used in this nurse-client interaction?
of the nurse's
action Client: "When I am anxious, the only thing that
role regarding
calms me down is alcohol." Nurse: "Other
ensuring that
than drinking, what alternatives have you
each client's
explored to decrease anxiety?"
rights are
respected?
A Reflecting
B Making observations
A "Autonomy is
C Formulating a plan of action
the
D Giving recognition
fundamental
right of each 23. "Yes, I see. Nurse Patrick is interviewing a newly admitted
and every Go on." psychiatric client. Which nursing statement is
client." an example of offering a "general lead"?
B "A patient's
rights are A "Do you know why you are here?"
guaranteed by B "Are you feeling depressed or anxious?"
both state and C "Yes, I see. Go on."
federal laws." D "Can you chronologically order the events
C "Being that led to your admission?"
respectful and
concerned will
ensure that I'm
attentive to my
patient's
rights."
D "Regardless
of the patient's
conditions, all
nurses have
the duty to
respect patient
rights."
24. The A nurse states to a client, "Things will look 28. sitting squarely S
nontherapeutic better tomorrow after a good night's sleep." facing the client
technique of This is an example of which communication (S)
"giving false technique?
29. open posture O
reassurance"
when interacting
A The therapeutic technique of "giving
with the client
advice"
(O)
B The therapeutic technique of "defending"
C The nontherapeutic technique of 30. leaning forward L
"presenting reality" toward the
D The nontherapeutic technique of "giving client (L)
false reassurance" 31. establishing eye E
25. "What would A client diagnosed with post-traumatic contact (E)
you like to talk stress disorder is admitted to an inpatient 32. relaxing (R) R
about?" psychiatric unit for evaluation and
33. "Surely you An instructor is correcting a nursing
medication stabilization. Which therapeutic
didn't do this student's clinical worksheet. Which
communication technique used by the
deliberately, but instructor statement is the best example
nurse is an example of a broad opening?
you breached of effective feedback?
confidentiality
A "What occurred prior to the rape, and
by using the A "Why did you use the client's name on
when did you go to the emergency
client's name." your clinical worksheet?"
department?"
B "You were very careless to refer to your
B "What would you like to talk about?"
client by name on your clinical
C "I notice you seem uncomfortable
worksheet."
discussing this."
C "Surely you didn't do this deliberately,
D "How can we help you feel safe during
but you breached confidentiality by using
your stay here?"
the client's name."
26. "You appear to A nurse is assessing a client diagnosed with D "It is disappointing that after being told,
be talking to schizophrenia for the presence of you're still using client names on your
someone I do hallucinations. Which therapeutic worksheet."
not see." communication technique used by the
34. The After assertiveness training, a formerly
nurse is an example of making
nontherapeutic passive client appropriately confronts a
observations?
technique of peer in group therapy. The group leader
giving approval states, "I'm so proud of you for being
A "You appear to be talking to someone I
assertive. You are so good!" Which
do not see."
communication technique has the leader
B "Please describe what you are seeing."
employed?
C "Why do you continually look in the
corner of this room?"
A The nontherapeutic technique of giving
D "If you hum a tune, the voices may not be
approval
so distracting."
B The nontherapeutic technique of
27. O A nurse maintains an uncrossed arm and interpreting
leg posture. This nonverbal behavior is C The therapeutic technique of presenting
reflective of which letter of the SOLER reality
acronym for active listening? D The therapeutic technique of making
observations
AS
BO
CL
DE
ER
35. To give the client What is the purpose of a nurse providing 39. "You're feeling A mother rescues two of her four
critical appropriate feedback? guilty because children from a house fire. In the
information you weren't able emergency department, she cries, "I
A To give the client good advice to save your should have gone back in to get them. I
B To advise the client on appropriate children." should have died, not them." What is the
behaviors nurse's best response?
C To evaluate the client's behavior
D To give the client critical information A "The smoke was too thick. You couldn't
have gone back in."
36. "During group, A client who frequently exhibits angry
B "You're feeling guilty because you
you raised your outbursts is diagnosed with antisocial
weren't able to save your children."
voice, yelled at a personality disorder. Which appropriate
C "Focus on the fact that you could have
peer, left, and feedback should a nurse provide when
lost all four of your children."
slammed the this client experiences an angry
D "It's best if you try not to think about
door." outburst?
what happened. Try to move on."
A "Why do you continue to alienate your 40. "Let's figure out a A newly admitted client diagnosed with
peers by your angry outbursts?" way for you to obsessive-compulsive disorder (OCD)
B "You accomplish nothing when you attend unit washes hands continually. This behavior
lose your temper like that." activities and still prevents unit activity attendance. Which
C "Showing your anger in that manner is wash your nursing statement best addresses this
very childish and insensitive." hands." situation?
D "During group, you raised your voice,
yelled at a peer, left, and slammed the A "Everyone diagnosed with OCD needs
door." to control their ritualistic behaviors."
B "It is important for you to discontinue
37. "Let's discuss and A client diagnosed with dependant
these ritualistic behaviors."
explore all of personality disorder states, "Do you think
C "Why are you asking for help if you
your options." I should move from my parent's house
won't participate in unit therapy?"
and get a job?" Which nursing response
D "Let's figure out a way for you to
is most appropriate?
attend unit activities and still wash your
hands."
A "It would be best to do that in order to
increase independence." 41. "We've discussed Which example of a therapeutic
B "Why would you want to leave a past coping skills. communication technique would be
secure home?" Let's see if these effective in the planning phase of the
C "Let's discuss and explore all of your coping skills can nursing process?
options." be effective
D "I'm afraid you would feel very guilty now." A "We've discussed past coping skills.
leaving your parents." Let's see if these coping skills can be
effective now."
38. Sitting squarely, When interviewing a client, which
B "Please tell me in your own words
facing the client nonverbal behavior should a nurse
what brought you to the hospital."
employ?
C "This new approach worked for you.
Keep it up."
A Maintaining indirect eye contact with
D "I notice that you seem to be
the client
responding to voices that I do not hear."
B Providing space by leaning back away
from the client
C Sitting squarely, facing the client
D Maintaining open posture with arms
and legs crossed
42. "You feel that A client tells the nurse, "I feel bad because 46. To explore a The nurse asks a newly admitted client,
your mother my mother does not want me to return home subject, idea, "What can we do to help you?" What is the
does not after I leave the hospital." Which nursing experience, or purpose of this therapeutic communication
want you to response is therapeutic? relationship technique?
come back
home?" A "It's quite common for clients to feel that A To reframe the client's thoughts about
way after a lengthy hospitalization." mental health treatment
B "Why don't you talk to your mother? You B To put the client at ease
may find out she doesn't feel that way." C To explore a subject, idea, experience, or
C "Your mother seems like an understanding relationship
person. I'll help you approach her." D To communicate that the nurse is
D "You feel that your mother does not want listening to the conversation
you to come back home?"
47. "Remember, A student nurse tells the instructor, "I'm
43. Making A client's younger daughter is ignoring clients, not concerned that when a client asks me for
stereotyped curfew. The client states, "I'm afraid she will nurses, are advice I won't have a good solution."
comments get pregnant." The nurse responds, "Hang in responsible for Which should be the nursing instructor's
there. Don't you think she has a lot to learn their own best response?
about life?" This is an example of which choices and
communication block? decisions." A "It's scary to feel put on the spot by a
client. Nurses don't always have the
A Requesting an explanation answer."
B Belittling the client B "Remember, clients, not nurses, are
C Making stereotyped comments responsible for their own choices and
D Probing decisions."
C "Just keep the client's best interests in
44. "I notice you Which nursing statement is a good example
mind and do the best that you can."
are wearing a of the therapeutic communication technique
D "Set a goal to continue to work on this
new dress of giving recognition?
aspect of your practice."
and you have
washed your A "You did not attend group today. Can we 48. "Touch carries A student nurse is learning about the
hair." talk about that?" a different appropriate use of touch when
B "I'll sit with you until it is time for your meaning for communicating with clients diagnosed with
family session." different psychiatric disorders. Which statement by
C "I notice you are wearing a new dress and individuals." the instructor best provides information
you have washed your hair." about this aspect of therapeutic
D "I'm happy that you are now taking your communication?
medications. They will really help."
A "Touch carries a different meaning for
45. "You seem to A client is struggling to explore and solve a
different individuals."
be motivated problem. Which nursing statement would
B "Touch is often used when deescalating
to change verbalize the implication of the client's
volatile client situations."
your actions?
C "Touch is used to convey interest and
behavior."
warmth."
A "You seem to be motivated to change your
D "Touch is best combined with empathy
behavior."
when dealing with anxious clients."
B "How will these changes affect your family
relationships?"
C "Why don't you make a list of the
behaviors you need to change."
D "The team recommends that you make only
one behavioral change at a time."
49. "You Which nursing statement is a good example 53. "Can you tell Which nursing response is an example of
mentioned of the therapeutic communication technique me why you said the nontherapeutic communication block
your of focusing? that?" of requesting an explanation?
relationship
with your A "Describe one of the best things that A "Can you tell me why you said that?"
father. Let's happened to you this week." B "Keep your chin up. I'll explain the
discuss that B "I'm having a difficult time understanding procedure to you."
further." what you mean." C "There is always an explanation for both
C "Your counseling session is in 30 minutes. good and bad behaviors."
I'll stay with you until then." D "Are you not understanding the
D "You mentioned your relationship with explanation I provided?"
your father. Let's discuss that further."
54. "Describe what A client states, "You won't believe what
50. "I see that you After fasting from 10 p.m. the previous happened my husband said to me during visiting
are upset, but I evening, a client finds out that the blood during your time hours. He has no right treating me that
feel test has been canceled. The client swears with your way." Which nursing response would best
uncomfortable at the nurse and states, "You are husband." assess the situation that occurred?
when you incompetent!" Which is the nurse's best
swear at me." response? A "Does your husband treat you like this
very often?"
A "Do you believe that I was the cause of B "What do you think is your role in this
your blood test being canceled?" relationship?"
B "I see that you are upset, but I feel C "Why do you think he behaved like
uncomfortable when you swear at me." that?"
C "Have you ever thought about ways to D "Describe what happened during your
express anger appropriately?" time with your husband."
D "I'll give you some space. Let me know if
55. "I understand Which therapeutic communication
you need anything."
that the voices technique should the nurse use when
51. "Don't worry. During a nurse-client interaction, which seem real to communicating with a client who is
Everything will nursing statement may belittle the client's you, but I do not experiencing auditory hallucinations?
be alright." feelings and concerns? hear any
voices." A "My sister has the same diagnosis as
A "Don't worry. Everything will be alright." you and she also hears voices."
B "You appear uptight." B "I understand that the voices seem real
C "I notice you have bitten your nails to the to you, but I do not hear any voices."
quick." C "Why not turn up the radio so that the
D "You are jumping to conclusions." voices are muted."
D "I wouldn't worry about these voices.
52. "You've been A client on an inpatient psychiatric unit tells
The medication will make them
feeling sad the nurse, "I should have died because I am
disappear."
and alone for totally worthless." In order to encourage
some time the client to continue talking about feelings,
now?" which should be the nurse's initial
response?

A "How would your family feel if you

died?"
B "You feel worthless now, but that can
change with time."
C "You've been feeling sad and alone for
some time now?"
D "It is great that you have come in for
help."
56. "Would you like Which nursing statement is a good 59. The According to the therapeutic
me to example of the therapeutic communication communication theory, what criteria must
accompany you communication technique of offering needs to be be met for successful communication?
to your self? efficient,
electroconvulsive appropriate, A Nonverbal communication is consistent
therapy A "I think it would be great if you talked flexible, and with verbal communication.
treatment?" about that problem during our next include B The communication needs to be efficient,
group session." feedback. appropriate, flexible, and include feedback.
B "Would you like me to accompany you C The individuals communicating with each
to your electroconvulsive therapy other must share a similar perception of the
treatment?" conversation.
C "I notice that you are offering help to D The communication must be
other peers in the milieu." intrapersonal, interpersonal, group, or
D "After discharge, would you like to societal in nature.
meet me for lunch to review your
60. Facial The nonverbal communication that
outpatient progress?"
expressions. expresses emotion is:
57. Verbalizing the A client slammed a door on the unit
implied and the several times. The nurse responds, "You A Body positioning.
defense seem angry." The client states, "I'm not B Eye contact.
mechanism of angry." What therapeutic communication C Facial expressions.
denial technique has the nurse employed and D Cultural artifacts.
what defense mechanism is the client
61. It is mutually In the symbolic interactionist view of
unconsciously demonstrating?
negotiated communication, how is the meaning of the
between the message determined?
A Making observations and the defense
individuals
mechanism of suppression
involved in the A It is predetermined by the person
B Verbalizing the implied and the
interaction. initiating the interaction.
defense mechanism of denial
B It is mutually negotiated between the
C Reflection and the defense mechanism
individuals involved in the interaction.
of projection
C It is based on the recipient's perception
D Encouraging descriptions of
and interpretation.
perceptions and the defense mechanism
D It is transferred from the sender to the
of displacement
receiver.
58. A A mother Which of the following individuals are
62. Overload. The nurse is discussing problem-solving
spanking her son communicating a message? (Select all
strategies with a client who recently
for playing with that apply.)
experienced the death of a family member
matches
and the loss of a full-time job. The client
B A teenage boy A A mother spanking her son for playing
says to the nurse, "I hear what you're saying
isolating himself with matches
to me, but it just isn't making any sense to
and playing loud B A teenage boy isolating himself and
me. I can't think straight now." The client is
music playing loud music
expressing feelings of:
C A biker C A biker sporting an eagle tattoo on his
sporting an eagle biceps
A Hostility.
tattoo on his D A teenage girl writing, "No one
B Overload.
biceps understands me"
C Disqualification.
D A teenage girl E A father checking for new e-mail on a
D Rejection.
writing, "No one regular basis
understands me"
E A father
checking for new
e-mail on a
regular basis
63. The client The nurse is interacting with a client and 67. The present To provide effective feedback to a client,
processing observes the client's eyes moving from side and not the the nurse will focus on:
auditory to side prior to answering a question. The past.
information. nurse interprets this behavior as: A The client.
B Making inferences of the behaviors
A The client responding to auditory observed.
hallucinations. C Providing solutions to the client.
B The client processing auditory information. D The present and not the past.
C The client engaging in intrapersonal
68. Emotions The use of facial expressions and gestures
communication.
communicates:
D The client being bored with the interaction.
64. Make sure The nurse is caring for a client who is hard of A Personality traits.
the client hearing. To facilitate communication with the B Interest in, and attraction to, another
can see her client, the nurse will: person.
lips move C Rejection.
when she is A Make sure the client can see her lips move D Emotions.
speaking. when she is speaking.
69. Avoiding Which approach reflects an obstacle to
B Ask closed-ended questions.
issues that are effective nurse-patient communication?
C Stand 5 to 8 feet from the client when
uncomfortable
speaking.
for a patient 1 Discussing fears about a patient with
D Speak slowly, using monosyllabic words
members of the health care team
whenever possible.
2 Obtaining information about a critically ill
65. "You've been A client with a history of major depression patient from his or her family
feeling like a tells the nurse "I wish I weren't alive. I have 3 Admitting a mistake to a patient's family
failure your been a failure my entire life and I am totally 4 Avoiding issues that are uncomfortable
entire life?" useless to anyone." The most therapeutic for a patient
response to the client is:
70. "I think your The nurse is caring for a postoperative
doctor needs patient who is still having pain despite
A "You've been feeling like a failure your
to know that analgesia administration. Which statement
entire life?"
you're still in by the nurse best reflects therapeutic
B "You shouldn't talk like that. You're not a
pain." communication?
failure."
C "Once the antidepressants start working
1 "I think your doctor needs to know that
you will feel better about yourself."
you're still in pain."
D "Things could be worse. You should be
2 "What do you want me to do about your
grateful for what you have."
pain problem?"
66. "I know The nurse is completing the sexual history 3 "When it comes to pain, your doctor
some of section of the admission assessment. The tends to undermedicate his patients."
these client tells the nurse "I don't want to talk 4 "Your pain will be a lot better in the
questions about this. This is private between my spouse morning."
are difficult and me." Which nurse response reflects
for you." empathy?

A "Yes, I know just how you feel."

B "I know some of these questions are
difficult for you."
C "I am a professional nurse and I know what
I am doing."
D "I understand this is difficult for you to talk
about, but I have to complete the admission
assessment."
71. "Why do you feel A patient recovering from a bilateral 74. Obtaining a A visitor from another country became ill
depressed and mastectomy for breast cancer tearfully medical and required hospitalization. He is having
worthless?" tells the nurse that she is feeling interpreter to difficulty getting the staff to understand his
depressed and worthless as a woman. facilitate the needs. Which approach by the nurse
Which communication phrase is not communication demonstrates the most cultural sensitivity?
effective? process
1 Asking one of the patient's family members
1 "Many women have body image to help with the communication process
concerns after undergoing this
surgery." 2 Using good eye contact while speaking
clearly with easily understood words
2 "Tell me more about how you feel."
3 Obtaining a medical interpreter to
3 "Why do you feel depressed and facilitate the communication process
worthless?"
4 Touching the patient more often while
4 "How long have you been feeling assessing him to make him feel that the
this way?" nurse cares about him
72. Watch the patient's Which initial approach would be best 75. Exhibiting A patient is exhibiting signs and symptoms
behavior for the when working with an anxious patient? appropriate of anxiety. What should be the first step in
amount of anxiety nonverbal establishing communication with him or
being exhibited. 1 Tell the patient that everything he or behaviors and her?
she says will be kept private. active
listening skills 1 Providing good personal hygiene
2 Ask the patient what he or she
believes is causing his or her anxiety. 2 Letting the patient make as many choices
as possible
3 Watch the patient's behavior for the
amount of anxiety being exhibited. 3 Being nonjudgmental and accepting of
feelings
4 Explain what the patient can expect
in terms that he or she can understand. 4 Exhibiting appropriate nonverbal
behaviors and active listening skills
73. Positioning himself A nurse is working with a potentially
or herself near the threatening patient. Which nursing 76. Using the A nurse is working with an older adult with
exit of the room to intervention is most appropriate? patient's a cognitive impairment who is having a
prevent being favorite tantrum and acting hostile toward other
blocked by the 1 Speaking clearly and slightly louder crackers to patients in the dayroom. Which approach
patient. so the patient does not need the nurse distract him by the nurse is most appropriate to handle
to repeat what was said. from the other this situation?
patients
2 Positioning himself or herself near 1 Asking three other staff members to help
the exit of the room to prevent being put the patient back to bed
blocked by the patient.
2 Using the patient's favorite crackers to
3 Bringing in other team members so distract him from the other patients
the patient knows there are others to
help him or her gain control. 3 Explaining to the patient how he will
benefit by behaving better
4 Asking the patient which comfort
measures he or she uses when he or 4 Asking the family how they managed the
she becomes out of control. tantrums while the patient was still living at
home
77. Encouraging A patient recovering from a recent 81. Information Which statement demonstrates the most
the patient to amputation of his foot because of diabetes is given to effective strategy for providing teaching to a
talk about his has been very withdrawn and not sleeping the patient depressed patient?
feelings while or eating well. Which initial nursing in small
allowing angry intervention would be most effective to amounts.
outbursts help him with his depression? A. Information is given to the patient in small
amounts.
1 Suggesting the use of antidepressant B. Information is given to the patient in written
medication to his health care provider form.
C. Patients who are depressed do not benefit
2 Spending time with the patient and telling from health teaching.
him how lucky he is that he was able to D. Patients who are depressed respond better
keep most of his leg to the NAP for health teaching.
82. Give her You are the nurse assigned to care for a 4-
3 Talking with physical therapy about how
paper and year-old child who was involved in an
soon he can be fitted for a prosthesis
crayons. automobile accident. She is withdrawn and is
not communicating readily with the staff. What
4 Encouraging the patient to talk about his
strategy can you use to interact with her?
feelings while allowing angry outbursts
78. How do you The nurse is preparing to provide patient A. Ask her open-ended questions.
best learn? education. Which question is most B. Give her paper and crayons.
appropriate for the nurse to ask? C. Ask her family for help.
D. Consult the staff psychologist.
1 Are you ready to learn now?
83. I have a A client states: "I refuse to shower in this room.
hard time I must be very cautious. The FBI has placed a
2 Can you use a computer?
believing camera in here to monitor my every move."
that is Which of the following is the therapeutic
3 Is your family here to learn also?
true." response?

4 How do you best learn?

a. "That's not true."
79. A. Listening Which of the following is an example of a b. I have a hard time believing that is true."
B. Restating therapeutic communication technique? c. "Surely you don't really believe that."
D. Reflecting Choose all that apply. d. "I will help you search this room so that you
E. Clarifying can see there is no camera."
A. Listening
B. Restating
C. Giving advice
D. Reflecting
E. Clarifying
80. A. Challenging Which of the following is an example of a
B. Defending nontherapeutic communication technique?
E. Choose all that apply.
Disapproving
A. Challenging
B. Defending
C. Focusing
D. Paraphrasing
E. Disapproving