A client who has a femur fracture states, "I can't stay in this bed any longer. I need to get home so I can take care of my family." The nurse responds, "You have talked about your family several times. Can you tell me more about your specific concerns?" Which type of therapeutic communication response is the nurse using?

Closed-Ended Questioning

Empathizing

Focusing

Summarizing

Answer and Explanation

The Correct Answer is C

A. Closed-ended questioning involves yes/no or brief answers, which is not the case here.

B. Empathizing would involve expressing understanding of the client's feelings rather than asking for more information.

C. Focusing directs the conversation to a specific topic or concern, which the nurse does by asking about the client's specific concerns.

D. Summarizing involves reviewing and organizing information, which is not happening here.

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Correct Answer is A

Explanation

A. Clarification helps the nurse understand the client's feelings and concerns by rephrasing or restating what the client has said.

B. Providing information would involve giving details about the procedure, not exploring the client's feelings.

C. Summarizing involves pulling together the main points of a discussion, rather than exploring specific concerns.

D. Confrontation involves addressing discrepancies or conflicts in a client's statements or behavior, which is not applicable in this situation.

A. Offering approval or disapproval B. Asking for explanations C. Asking open-ended questions D. Offering sympathy

Correct Answer is C

Explanation

A. Offering approval or disapproval
Offering approval or disapproval can create a judgmental atmosphere and hinder open communication. Therapeutic communication focuses on understanding and supporting the patient without expressing judgment.

B. Asking for explanations
Asking for explanations can sometimes come across as interrogative or demanding. While it is important to understand patient concerns, therapeutic communication should be focused on exploring feelings and experiences rather than demanding explanations.

C. Asking open-ended questions
Open-ended questions encourage patients to share more about their thoughts and feelings, facilitating deeper and more meaningful conversations. This technique helps patients express themselves more freely and promotes effective therapeutic communication.

D. Offering sympathy
Offering sympathy, rather than empathy, can distance the nurse from the patient and may not address the patient’s needs as effectively. Therapeutic communication should focus on empathy, where the nurse understands and acknowledges the patient's feelings without feeling sorry for them.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is A

Explanation

A nurse is designing a poster presentation for staff nurses about therapeutic communication. Which of the following techniques should the nurse include?

Correct Answer is C

Explanation

A nurse is leading a family therapy session for a mother, father, and two adolescent siblings. Which of the following statements should the nurse recognize as an example of effective communication among family members?

Which of the following steps should the nurse take before breaking bad news to a patient and/or their family? Select all that apply.

Emotional Intelligence includes four key domains: Self-Awareness, Self-Management, Social Competence, and Relationship Management. Which of the following behaviors exhibited by a student demonstrates Self-Management?

A nurse is reviewing communication styles. Which of the following characteristics should the nurse identify as being exhibited by a passive communicator?

Four nurses are working as a group to develop a new policy related to personal requests for scheduling. One nurse is quiet and rarely adds to the group discussion. Which action by the other staff nurses is best?

A staff nurse tells the nurse manager about poor communication that is occurring between nurses when a patient is transferred to another unit. Which response by the nurse manager is best?

The home care nurse visits a mother and her newborn 2 days after discharge from the hospital. The mother states, "My baby cries all the time. I must not be a very good mother." Which response by the nurse is nontherapeutic?

A client uses offensive language when communicating with the nurse. The nurse plans to confront the client in a caring, respectful manner. Using the CARE method of confrontation, what should the nurse do first?