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
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.
Correct Answer is A
Explanation
Choice A rationale: this statement is correct since it shows that the nurse is understanding and sharing the patient’s feelings without judging them but instead the nurse is acknowledging the client’s pain and is showing compassion. It reflects on the patient’s emotions and validates their experiences.
Choice B rationale: this is a sign of sympathy and not empathy since it shows that the nurse is sorry for the patient but is not necessarily relating to their emotions.
Choice C rationale: this statement is dismissive since it tries to make the client feel better by overlooking and downplaying their negative feelings which may worsen their situation.
Choice D rationale: this is a hopeful response rather than an empathetic one and does not address the client’s current emotions and feelings despite being a source of encouragement and optimism.
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