In communicating with the psychiatric patient, which nurse responses could block effective communication with a client? (Select all that apply)
"Don't stress over it. Everything will turn out fine.”
"You should talk to your husband and not keep things inside.”
"Why did you do that?"
"It must be difficult for you to feel that way.
“Tell me more about what you are feeling”
Correct Answer : A,B,C
Choice A rationale: this response is dismissive of the patient’s feelings and concerns and does not acknowledge the patient’s reality and perspective. It implies that the patient is overreacting and may make the client feel judged and ignored.
Choice B rationale: this response is intrusive and prescriptive since the patient’s reasons and preferences are not considered. it assumes that the patient has a husband and that they have a good relationship together which may not be the case.
Choice C rationale: this response is accusatory and confrontational while implying that the patient’s behavior was wrong and unacceptable. Furthermore, it focuses on the past rather than the present or the future which is relevant in this case. It also makes the patient feel guilty and ashamed which may impair their ability to open up hence ineffective care.
Choice D rationale: This response is empathic and validating. It reflects the patient's feelings and shows understanding and compassion. It does not judge or minimize the patient's emotions, and it invites the patient to share more if they wish. This response could make the patient feel heard, supported, and respected.
Choice E rationale: this response encourages the patient to open up and express their thoughts and feelings. This makes the patient feel valued and empowered thus allowing them to share their feelings at their own pace.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is A
Explanation
Choice A rationale: This is an important step but it comes second after actively listening to the patient. Understanding the underlying emotions allows the nurse to respond appropriately and address the patient's concerns effectively. By identifying the emotions, the nurse can establish a foundation for constructive communication and work towards resolving the source of anger.
Choice B rationale: Listening actively is an important component of effective communication and it entails paying attention to the client's verbal and non-verbal cues. This shows empathy and an interest in the patient’s concerns.
Choice C rationale: Exploring options is relevant, but it is a subsequent step in the communication process after active listening and identifying emotions.
Choice D rationale: this is inappropriate especially when dealing with an angry patient as it may sound patronizing, insincere, and dismissive.
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