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?”
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The correct answer is Choice A.
When communicating with an angry patient, the nurse must first listen actively. Active listening allows the nurse to identify the key issues and work through them methodically.
Correct Answer is D
Explanation
Choice A rationale
While ineffective coping related to inadequate stress management is a valid nursing diagnosis, it is not the highest priority in this situation. The client’s life is not immediately at risk due to ineffective coping.
Choice B rationale
Hopelessness related to recent divorce is a significant concern, but it is not the highest priority. The immediate threat to the client’s life is the suicidal ideation with a highly lethal plan.
Choice C rationale
Spiritual distress related to conflicting thoughts about suicide and sin is a potential nursing diagnosis for this client. However, the immediate life-threatening issue takes precedence.
Choice D rationale
Risk for suicide related to highly lethal plan is the highest priority nursing diagnosis. The client has a plan to commit suicide with a handgun, which is a highly lethal method. Immediate intervention is required to ensure the client’s safety.
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