Barriers to therapeutic communication include probing, giving advice and

Providing false reassurance

Use of open-ended questions

Active listening

Silence

Answer and Explanation

The Correct Answer is A

Choice A rationale: providing false reassurances invalidates the client’s feelings and concerns thus making them feel that the nurse is not trustworthy or empathetic. This may hinder the development of a therapeutic relationship.
Choice B rationale: the use of open-ended questions is appropriate since it allows the client to freely express their thoughts and feelings without being limited by the yes or no answers.
Choice C rationale: active listening involves paying attention to the client’s verbal and non-verbal cues and clarifying any possible misunderstandings.
Choice D rationale: silence is crucial since it enables the client to reflect on their thoughts and to process their emotions. Furthermore, it is a form of respect for the client’s feelings.

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Correct Answer is D

Explanation

Choice A rationale: Clozapine has no effect on a patient’s blood pressure levels. However, blood pressure monitoring for all patients is crucial but the temperature is more relevant for a patient on clozapine.
Choice B rationale: Clozapine has no effect on an individual’s respiratory rate hence in this case it is not the priority vital sign to monitor.
Choice C rationale: Clozapine use does not cause pain. Furthermore, pain is not a vital sign.
Choice D rationale: One of the side effects of clozapine is agranulocytosis hence this predisposes the patient to infections which may manifest with fever. Therefore, it is important to monitor the patient’s temperature while on treatment.

A. A means of monitoring the client's progress B. A guide for planning and implementation of care C. An instrument for communication and coordination of care D. Evaluating the effectiveness of interventions E. Ensure that the client follows their treatment

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

Explanation

Choice A rationale: the mental health treatment is designed to monitor and assess an individual’s progress and response to treatment over time by outlining measurable and realistic targets that are evaluated periodically.
Choice B rationale: the treatment plan can be used by healthcare providers as a guide while providing care to their clients by issuing a clear rationale behind the interventions chosen.
Choice C rationale: the treatment plan is a document outlining the objectives, interventions, and expected outcomes in the management of clients thus it serves as a communication tool amongst various healthcare providers across all the cadres involved in multi-disciplinary patient care.
Choice D rationale: the treatment plan evaluates the effectiveness of the interventions provided to a client by providing a comparison between the actual results and the expected outcomes thus guiding on the need for any necessary adjustments to be made when needed.
Choice E rationale: the treatment plan is not primarily responsible for ensuring that a client adheres to their treatment but instead it empowers and supports them during their recovery process. Therefore, the client’s needs and preferences should always be considered while developing the treatment plan which should be flexible to the changing needs of clients.

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Barriers to therapeutic communication include probing, giving advice and

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse should monitor which vital signs in the client who is taking Clozaril (Clozapine).

Correct Answer is D

Explanation

Upon entrance into a mental health care system, clients are thoroughly assessed, and this is followed by the development of a mental health treatment plan. Which of the following are the purposes of the treatment plan? (Select all that apply.)

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

Explanation

The nurse is talking with the client in an activity room where others are present. The client becomes tearful when talking about his children at home. What is the nurse's best action?

A client in the mental health unit has a history of Asthma. Which axis would the nurse document this information?

In communicating with the psychiatric patient, which nurse responses could block effective communication with a client? (Select all that apply)

During the night shift, several staff members are being loud at the nurses' station of an inpatient mental health unit. A nurse asks them to hold down the noise." The nurse has asked this of the staff most likely because she knows that excessive noise

Regarding the environment, it is important for the nurse to be aware of lighting for some clients. Clients with a diagnosis of schizophrenia may be bothered by lights that are flickering because this may trigger.

As the nurse begins to discuss discharge plans for a 45-year-old female client hospitalized for anxiety, the client states, "You never really cared whether I get better! Why not stop this charade?" The nurse recognizes this to be:

One of the major disadvantages of benzodiazepines prescribed for anxiety is that these medications:

Which qualities must be communicated to a client for the establishment of a therapeutic relationship? Select all that apply.