A female patient wants to discuss her history of childhood sexual abuse.
The nurse tells her not to talk about it. This is an example of which non-therapeutic communication technique?
Rejecting
Providing inadequate responses
Being judgmental
Failing to probe
The Correct Answer is A
Choice A rationale
Rejecting is a non-therapeutic communication technique where the nurse refuses to discuss certain topics with the patient. In this case, the nurse telling the patient not to talk about her history of childhood sexual abuse is an example of rejecting. This approach can make the patient feel unheard or invalidated, which can hinder the therapeutic relationship and impede the patient’s healing process.
Choice B rationale
Providing inadequate responses is another non-therapeutic communication technique. It involves giving vague or insufficient responses to the patient’s concerns or questions. However, in this scenario, the nurse is not providing an inadequate response but rather refusing to engage in the conversation altogether, which is more aligned with rejecting.
Choice C rationale
Being judgmental is a non-therapeutic communication technique where the nurse makes negative judgments or evaluations about the patient. In this scenario, the nurse is not making any judgments about the patient or her experiences. Instead, the nurse is avoiding the topic, which is indicative of rejecting.
Choice D rationale
Failing to probe is a non-therapeutic communication technique that involves not seeking further information from the patient, thereby missing important details. While the nurse in this scenario is not seeking more information about the patient’s history, the behavior is more accurately described as rejecting because the nurse is actively discouraging the patient from discussing her experiences.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Flight of ideas is a symptom often seen in conditions like bipolar disorder, particularly during manic episodes. It involves a rapid shift in thoughts and ideas, often with loose or no associations between them. The statement “her car is gray, and her dog died last week” could be an example of this, as the two ideas are unrelated.
Choice B rationale
Verbigeration refers to the constant repetition of certain words or phrases. This is not demonstrated in the client’s statement.
Choice C rationale
Loose associations involve a disorganized thinking pattern where the person jumps from one topic to another that is seemingly unrelated. While the client’s statement might seem to have loose associations, it is more indicative of flight of ideas.
Choice D rationale
Circumstantiality involves excessive, unnecessary detail that delays getting to the point. The client’s statement is not an example of this, as it is brief and does not contain unnecessary details.
Correct Answer is B
Explanation
Choice A rationale
Focusing is a therapeutic communication technique where the nurse directs the conversation to specific areas or topics. In this scenario, the nurse is not focusing the conversation but is seeking to clarify the client’s understanding of their medication.
Choice B rationale
Clarification is a therapeutic communication technique where the nurse seeks to understand the client’s message more fully. In this scenario, the nurse is using clarification by stating that the client needs more information about their medication for safe use.
Choice C rationale
Informing is a therapeutic communication technique where the nurse provides the client with relevant information. While the nurse in this scenario is indicating a need to provide more information, the primary action is clarification.
Choice D rationale
Theme identification is a therapeutic communication technique where the nurse identifies recurring thoughts or feelings expressed by the client. In this scenario, the nurse is not identifying a recurring theme but is seeking to clarify the client’s understanding of their medication.
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