Barriers to therapeutic communication include probing, giving advice and
Providing false reassurance
Use of open-ended questions
Active listening
Silence
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","D"]
Explanation
Choice A rationale: this is incorrect since enjoyment is not a criterion for effective therapy and can be inappropriate and unrealistic in some situations.
Choice B rationale: rapport is essential in a therapeutic relationship since it establishes a connection and a mutual understanding between the healthcare professional and a client thus ensuring that the best management is offered to the patients with their needs being considered.
Choice C rationale: acceptance is crucial in a therapeutic relationship since it ensures that the healthcare professional develops a positive relationship towards the client without judging them.
Choice D rationale: Genuineness is important since it promotes honesty, authenticity, and congruency in an individual’s words and actions hence this fosters appropriate management.
Choice E rationale: love may result in personal attachment and emotional involvement which may tamper with the boundaries and roles of a therapist thus resulting in ethical violations in patient management.
Correct Answer is B
Explanation
Choice A rationale: this is a type of delusion involving the misinterpretation of random events as having personal significance or reference.
Choice B rationale: flight of ideas refers to a disordered thinking process involving rapid shifts from one topic to another. The client’s speech is often incoherent and difficult to follow.
Choice C rationale: this is a type of memory distortion involving the fabrication of stories or details to fill the gaps in an individual’s memory. Usually occurs in conditions such as dementia, substance abuse, and brain damage.
Choice D rationale: this refers to the repetition of the same word, phrase, or action over and over without being able to stop or switch to something else. Occurs in conditions such as schizophrenia, brain injury, or a stroke.
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