During a therapy session, which statement made by the nurse indicates a need for further training in effective therapeutic communication techniques?

“Why did you get so angry when she ignored you?”

“It is doubtful the president is out to get you.”.

“Tell me more about the day your child died.”.

“I don’t understand what you mean. Can you give me an example?”

Answer and Explanation

The Correct Answer is A

Choice A rationale
The statement “Why did you get so angry when she ignored you?” indicates a need for further training in effective therapeutic communication techniques. Asking “why” can make patients defensive and is generally avoided in therapeutic communication.
Choice B rationale
The statement “It is doubtful the president is out to get you” is a reality-oriented response and can be appropriate in certain contexts, such as when a patient is experiencing delusions.
Choice C rationale
The statement “Tell me more about the day your child died” invites the patient to share more about their experiences and feelings, which is a key aspect of therapeutic communication.
Choice D rationale
The statement “I don’t understand what you mean. Can you give me an example?” is an appropriate therapeutic communication technique, as it seeks to clarify the patient’s message.

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

Explanation

Choice A rationale
A mental health treatment plan serves as a tool for communication and coordination of care. It helps to ensure that all healthcare professionals involved in a client’s care have access to the same information, promoting consistent and coordinated care.
Choice B rationale
The treatment plan is used to evaluate the effectiveness of interventions. By comparing the client’s progress to the goals set out in the treatment plan, healthcare professionals can determine whether the interventions are working or if adjustments need to be made.
Choice C rationale
The treatment plan acts as a guide for the planning and implementation of care. It outlines the strategies and interventions to be used, helping to ensure that the care provided is aligned with the client’s needs and goals.
Choice D rationale
The treatment plan is a means of monitoring the client’s progress. Regular reviews of the treatment plan can provide valuable insights into how the client is progressing and whether any changes to the plan are required.

A. A 32-year-old patient with gastroenteritis. B. A 60-year-old patient with type II diabetes, 2 months post bilateral above-knee amputations. C. A 55-year-old patient with coronary artery disease, 4 days post coronary bypass surgery. D. An 80-year-old patient with chronic obstructive pulmonary disease, chronic respiratory failure, and urosepsis.

Correct Answer is D

Explanation

An 80-year-old patient with chronic obstructive pulmonary disease, chronic respiratory failure, and urosepsis is at the highest risk for developing delirium. Multiple factors such as advanced age, severe illness, and multiple comorbidities increase the risk of delirium.

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During a therapy session, which statement made by the nurse indicates a need for further training in effective therapeutic communication techniques?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Upon entering a mental health care system, clients undergo a thorough assessment, followed by the creation of a mental health treatment plan. What are the objectives of this treatment plan? (Select all that apply.)

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

Explanation

In a medical-surgical unit, the nurse is monitoring several patients. Which patient does the nurse identify as being at the highest risk for developing delirium?

Correct Answer is D

Explanation

The nurse is using the Global Assessment of Function to assess her patient. Which is a ‘favorable’ range of functioning?

During a therapy session, which statement made by the nurse indicates a need for further training in effective therapeutic communication techniques?

Which medication side effect is irreversible if not detected early?

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

What are the goals of therapeutic communication?

The home health aide reports to the practical nurse that the client has been trying to give away possessions. When the nurse asks the client about this behavior, the client says, “With my spouse dead, there’s no reason for me to go on.”. What is the best priority response by the nurse?

A client reports to the nurse that her elderly mother has become increasingly angry and responds inappropriately to conversations within the past few months. She notes that her mother does not respond when the mother’s back is turned. What is the best intervention for the nurse?

A client who just went through an upsetting divorce is threatening to commit suicide with a handgun. The client is voluntarily admitted to the psychiatric unit. Which of the following nursing diagnoses has the highest priority?