A student nurse is talking with a client. Which technique will best communicate to a client that the student is interested in listening?

Restate a feeling or thought the patient has expressed.

Make a judgment about the client's problem.

Say, "I understand what you're saying.”

Ask a direct question, such as, "Did you feel angry?"

Answer and Explanation

The Correct Answer is A

A. Restate a feeling or thought the patient has expressed: Restating a feeling or thought the patient has expressed shows active listening and genuine interest in understanding the client's perspective. It demonstrates empathy and encourages further communication.

B. Make a judgment about the client's problem: Making a judgment about the client's problem can be perceived as non-empathetic and may hinder effective communication. It can create barriers and reduce the client's willingness to share their thoughts and feelings openly.

C. Say, "I understand what you're saying": While saying "I understand what you're saying" can show acknowledgment, it may come across as superficial or dismissive if not accompanied by active listening behaviors. It's important to demonstrate understanding through active listening techniques rather than just verbal reassurances.

D. Ask a direct question, such as, "Did you feel angry?": Asking direct questions can be helpful for clarification or gathering specific information, but it may not necessarily communicate genuine interest in listening. Direct questions should be used appropriately and complemented with active listening skills to foster effective communication.

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Correct Answer is B

Explanation

A. Sigmund Freud:
Sigmund Freud was a pioneering figure in the field of psychology, known for his development of psychoanalytic theory. However, his focus was primarily on understanding the unconscious mind, personality development, and psychosexual stages. He did not advocate for the moral treatment of the mentally ill or the opening of state hospitals.

B. Dorothea Dix:
Dorothea Dix was a prominent social reformer and advocate for the rights of individuals with mental illness in the 19th century. She campaigned extensively for the improvement of mental health care, including advocating for the moral treatment of the mentally ill and the establishment of state-funded mental hospitals. Her efforts led to significant reforms in mental health care in the United States. Therefore, this is the correct answer as she is widely recognized for her advocacy and efforts in improving mental health care and promoting the humane treatment of individuals with mental illness.

C. Hildegard Peplau:
Hildegard Peplau was a nurse theorist known for her work on interpersonal relations in nursing. While she made significant contributions to nursing theory and practice, including in the field of psychiatric nursing, her focus was not specifically on advocating for the moral treatment of the mentally ill or the establishment of state hospitals.

D. Linda Richards:
Linda Richards was a pioneering psychiatric nurse and the first trained nurse in the United States. She made important contributions to psychiatric nursing practice and education. However, her work did not involve advocating for the moral treatment of the mentally ill or the opening of state hospitals.

A. The staff care for the client using a high staff-to-client ratio. B. The staff care for the client in an acute care setting. C. The client comes to a facility for day treatment programs and goes home at night. D. The client receives services in the community or home where they live.

Correct Answer is D

Explanation

A. The staff care for the client using a high staff-to-client ratio.
This statement is accurate regarding ACT. ACT teams consist of multidisciplinary professionals, including psychiatrists, nurses, social workers, and case managers, who work collaboratively with a small caseload of clients. The high staff-to-client ratio allows for personalized and intensive care, frequent contact, and ongoing support to address the complex needs of clients with severe and persistent mental illness. However, choice D is slightly more accurate as it addresses the fundamental principle of ACT, which is to provide services, interventions, and support directly to the community or home environment.

B. The staff care for the client in an acute care setting.
This statement is inaccurate regarding ACT. ACT is designed for clients with chronic and severe mental health conditions who require long-term support and interventions in community settings rather than acute care settings like hospitals.

C. The client comes to a facility for day treatment programs and goes home at night.
This statement is inaccurate regarding ACT. Clients receiving ACT services do not typically attend day treatment programs at a facility; instead, they receive services and support in their homes or communities as part of the ACT model's emphasis on community-based care.

D. The client receives services in the community or home where they live.
Assertive Community Treatment (ACT) is a model of mental health care that emphasizes providing comprehensive and intensive services to clients in their community or home environments. Clients receiving ACT services typically do not need to come to a facility for day treatment programs; instead, they receive support, treatment, and interventions in their own living environments. The goal of ACT is to promote stability, independence, and recovery by addressing the client's mental health needs within the context of their daily life and community settings

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A student nurse is talking with a client. Which technique will best communicate to a client that the student is interested in listening?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When reviewing the history of mental health care in the United States, a psychiatric-mental health nurse reads about advocating for the moral treatment of the mentally ill and opening of state hospitals. The nurse would attribute this concept of care as the idea supported by:

Correct Answer is B

Explanation

A nurse is providing care to a client using assertive community treatment (ACT). Which of the following is accurate about this type of treatment?

Correct Answer is D

Explanation

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A student nurse is talking with a client. Which technique will best communicate to a client that the student is interested in listening?