A nurse is communicating with a client who was just admitted for treatment of a substance use disorder. Which of the following communication techniques should the nurse identify as a barrier to therapeutic communication?
Giving information
Listening attentively
Reflecting
Offering advice
The Correct Answer is D
A. Giving information: This is actually a key component of therapeutic communication. It helps clients understand their situation and the care they are receiving, which can empower them and reduce anxiety.
B. Listening attentively: Active listening is fundamental to effective therapeutic communication.
C. Reflecting: Reflecting helps the client to explore their feelings and thoughts.
D. Offering advice: Offering advice can create a barrier because it may come across as judgmental or directive, rather than supportive. It can also undermine the client’s autonomy and ability to make their own decisions. Therapeutic communication focuses on listening, understanding, and reflecting the client’s feelings and experiences.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Open group: Open groups allow new members to join at any time and existing members to leave as needed. The described group has a set duration and consistent membership, so it is not an open group.
B. Self-help group: Self-help groups are typically organized and led by group members who share a common issue or concern. The described group is more structured and led by a therapist, not fitting the self-help group model.
C. Closed group: A closed group is characterized by a fixed membership that remains the same throughout the sessions. The group described, meeting weekly for 10 sessions, fits this description.
D. Educational group: Educational groups focus on teaching specific knowledge or skills. The described group focuses on addressing feelings of depression through therapeutic sessions, not primarily on education.
Correct Answer is C
Explanation
A. Identifying if friends or family are available to help: Important for support but not the immediate priority.
B. Identifying the client's coping skills: Important for long-term care but not the immediate priority.
C. Determining if the client has thoughts of self-harm: Correct. Assessing for self-harm or suicidal ideation is crucial for immediate safety.
D. Asking the client to identify the cause of the crisis: Important for understanding the crisis but not the immediate priority.
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