A nurse is working with three depressed clients in group therapy.
The nurse yawns and keeps looking at her watch during the therapy time.
This is an example of which nontherapeutic communication technique?
Failure to explore client’s point of view
Eliciting vague descriptions
Failure to listen
Failure to probe
The Correct Answer is C
Choice A rationale
Failure to explore a client’s point of view is a nontherapeutic communication technique, but it’s not the most fitting description for the scenario. The nurse’s yawning and frequent glancing at the watch doesn’t necessarily indicate a lack of exploration of the clients’ perspectives.
Choice B rationale
Eliciting vague descriptions can be a nontherapeutic communication technique, but it doesn’t seem to apply in this context. The nurse’s actions don’t suggest that they are eliciting vague descriptions from the clients.
Choice C rationale
Failure to listen is the most appropriate answer. The nurse’s yawning and frequent checking of the watch during therapy time could indicate a lack of attention or interest in what the clients are saying, which can be perceived as failing to listen.
Choice D rationale
Failure to probe can be a nontherapeutic communication technique, but it doesn’t seem to apply in this context. The nurse’s actions don’t suggest that they are failing to probe or ask further questions.
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Correct Answer is B
Explanation
Choice A rationale
Adjustment disorder is a stress-related condition that can cause emotional and behavioral symptoms. However, the child’s withdrawal from previously enjoyed activities and expression of hopelessness about the future are more indicative of depression.
Choice B rationale
Depression is characterized by persistent sadness, a loss of interest in previously enjoyed activities, and feelings of hopelessness. The child’s behavior aligns with these symptoms, suggesting that they may be experiencing depression.
Choice C rationale
Stress disorder, also known as acute stress disorder or post-traumatic stress disorder, is characterized by severe anxiety, flashbacks, and uncontrollable thoughts about a traumatic event. While the child’s behavior could potentially be related to a stress disorder, the symptoms provided are more indicative of depression.
Choice D rationale
Anxiety disorders are characterized by excessive fear or anxiety. While the child’s expression of hopelessness could potentially be related to an anxiety disorder, the withdrawal from previously enjoyed activities is more indicative of depression.
Correct Answer is A
Explanation
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.
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