A home health nurse is caring for a client who reports feeling tired and being unable to grocery shop. Which of the following responses by the nurse is an example of therapeutic communication?

“Have you thought about taking a sleeping pill?”

“Your fatigue will pass, and everything will be just fine.”

“Do you have a family member who can assist you?”

“Let’s discuss how to get you the help you need.”

Answer and Explanation

The Correct Answer is D

Choice A reason:

Suggesting a sleeping pill is not an example of therapeutic communication as it does not address the underlying issues or provide support. It may also imply a quick fix rather than exploring the client’s feelings and needs.

Choice B reason:

Telling the client that their fatigue will pass and everything will be fine is dismissive and does not validate their feelings. It fails to engage the client in a meaningful conversation about their concerns.

Choice C reason:

Asking if the client has a family member who can assist them is practical but does not fully engage in therapeutic communication. It may be helpful, but it does not explore the client’s feelings or provide emotional support.

Choice D reason:

“Let’s discuss how to get you the help you need” is an example of therapeutic communication. It shows empathy, validates the client’s feelings, and opens a dialogue to explore solutions and support options.

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Correct Answer is B

Explanation

Choice A reason:

Giving the client a cup of hot black tea before bed is not advisable. Black tea contains caffeine, which can interfere with sleep and exacerbate sleep disturbances. It is important to avoid stimulants before bedtime to promote better sleep quality.

Choice B reason:

Waking the client at the same time each morning helps establish a consistent sleep-wake cycle, which is beneficial for managing sleep disturbances. Regular wake times can help regulate the body’s internal clock and improve overall sleep patterns.

Choice C reason:

Taking the client for a walk 2 hours before bedtime can be beneficial as physical activity can promote better sleep. However, it is not as crucial as maintaining a consistent wake time, which directly influences the sleep-wake cycle.

Choice D reason:

Allowing the client to take a 90-minute nap immediately after lunch may interfere with nighttime sleep. Long naps during the day can reduce the drive to sleep at night, leading to further sleep disturbances.

A. Hallucinations B. Depression C. Delusions D. Catatonia E. Tinnitus

Correct Answer is ["A","B","C","D"]

Explanation

Choice A reason:

Hallucinations, particularly if they are distressing or command hallucinations, can increase the risk of suicide attempts.

Choice B reason:

Depression is a major risk factor for suicide. Clients with a history of depression are at higher risk for attempting suicide again.

Choice C reason:

Delusions, especially those that are paranoid or persecutory, can contribute to suicidal thoughts and behaviors.

Choice D reason:

Catatonia, a state of psychomotor disturbance, can be associated with severe depression and increase the risk of suicide.

Choice E reason:

Tinnitus, while distressing, is not typically a direct risk factor for suicide attempts. It may contribute to overall distress but is not a primary indicator of suicide risk.

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A home health nurse is caring for a client who reports feeling tired and being unable to grocery shop. Which of the following responses by the nurse is an example of therapeutic communication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is ["A","B","C","D"]

Explanation

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