A nurse is caring for a client with a mental health disorder. Which of the following actions best demonstrates the use of therapeutic communication to establish a rapport with the client?

Asking open-ended questions about their feelings and actively Listening to their responses.

Discussing personal experiences to relate to the client.

Giving instructions without considering the client's emotional state

Providing detailed medical jargon explanations of their condition to demonstrate expertise.

Answer and Explanation

The Correct Answer is A

A. Asking open-ended questions about their feelings and actively listening to their responses: Open-ended questions encourage clients to express thoughts and emotions freely, while active listening demonstrates empathy and attentiveness. This approach fosters trust, builds rapport, and supports therapeutic communication in mental health care.

B. Discussing personal experiences to relate to the client: Sharing personal experiences may shift focus from the client to the nurse and can blur professional boundaries. Therapeutic communication prioritizes the client’s feelings and needs rather than the nurse’s own experiences.

C. Giving instructions without considering the client's emotional state: Providing instructions without acknowledging emotions can create resistance, reduce trust, and impede rapport. Therapeutic communication requires sensitivity to the client’s emotional state.

D. Providing detailed medical jargon explanations of their condition to demonstrate expertise: Using complex medical language can overwhelm or confuse the client and may hinder understanding. Rapport is best established through clear, empathetic, and client-centered communication.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is D

Explanation

A. Distributing pamphlets about local health services without collaboration: Providing information alone is a passive approach and may not reach or engage the community effectively. Without collaboration, the intervention may lack cultural relevance and sustainability.

B. Providing individual health assessments for every community member: While comprehensive, this approach is resource-intensive and may be impractical in a rural setting with limited staff and access. It does not leverage community resources for broader impact.

C. Directing all community members to the nearest urban health center: Referring the population to urban centers may create barriers related to transportation, cost, and accessibility. It does not provide locally accessible care or education.

D. Partnering with local schools to implement health education programs: Collaboration with schools provides an accessible, sustainable platform to reach a broad segment of the community. School-based interventions promote health literacy, preventive behaviors, and community engagement, making it the most effective collaborative approach.

A. Increase the dose of the current analgesic medication B. Reassess pain after one hour without making changes to the current plan. C. Consult the healthcare provider to consider alternative or adjunctive pain management therapies D. Advise the client to try nonpharmacological interventions such as meditation.

Correct Answer is C

Explanation

A. Increase the dose of the current analgesic medication: Adjusting the dose independently can be unsafe and may exceed prescribed limits, risking adverse effects such as respiratory depression or toxicity. Dose changes require provider authorization.

B. Reassess pain after one hour without making changes to the current plan: While reassessment is important, delaying intervention when the client reports severe pain (8/10) may prolong suffering and indicates the current plan is ineffective. Immediate evaluation of alternative strategies is needed.

C. Consult the healthcare provider to consider alternative or adjunctive pain management therapies: Severe pain despite current analgesics signals inadequate pain control. Collaborating with the provider ensures safe adjustments, including medication changes, route modifications, or addition of adjunctive therapies. This prioritizes effective relief and patient safety.

D. Advise the client to try nonpharmacological interventions such as meditation: Nonpharmacological methods may provide supplementary relief but are unlikely to control severe pain alone. These strategies should complement, not replace, pharmacologic management for acute uncontrolled pain.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is caring for a client with a mental health disorder. Which of the following actions best demonstrates the use of therapeutic communication to establish a rapport with the client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is creating a community health intervention plan for a rural population with limited access to healthcare. Which collaborative intervention is most appropriate to address this issue?

Correct Answer is D

Explanation

A client with chronic pain reports a pain level of 8 on a 10-point scale despite receiving oral analgesics. Which intervention should the nurse prioritize?

Correct Answer is C

Explanation

A nurse is assessing a patient with suspected oculomotor nerve (CN III) damage. Which finding would indicate an intact oculomotor nerve?

A client presents with a blood pressure of 88/50 mmHg. Which nursing intervention is most appropriate?

A nurse is documenting subjective data collected from a client during an interview. Which statement is the most appropriate for documentation?

Mary Mahoney is best known for her historical contribution to nursing as

A nurse needs to communicate an urgent situation involving a client who has deteriorating vital signs. Using the ISBARR tool, what should the nurse prioritize immediately after introducing themselves and stating their role?

During a client interview, a nurse notices the client appears anxious and is speaking rapidly. To practice active listening, what should the nurse do first?

A nursing student accesses a patient's electronic health record for a class assignment without the patient's consent. What HIPAA provision does this action violate?

A nurse is working in a healthcare facility that uses critical pathways to manage patient care. Which action by the nurse demonstrates an understanding of when to deviate from the critical pathway?