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 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 D
Explanation
Choice A rationale: Mood stabilizers are drugs that help regulate the mood swings of bipolar disorder and other conditions. They include lithium, valproate, carbamazepine, and lamotrigine.
Choice B rationale: Antipsychotics are drugs that reduce the symptoms of psychosis, such as hallucinations, delusions, paranoia, and disorganized thinking. They include chlorpromazine, haloperidol, risperidone, olanzapine, and quetiapine.
Choice C rationale: Antidepressants are drugs that improve mood and reduce the symptoms of depression, such as low energy, sadness, hopelessness, and loss of interest. They include selective serotonin reuptake inhibitors (SSRIs), serotonin-norepinephrine reuptake inhibitors (SNRIs), tricyclic antidepressants (TCAs), and monoamine oxidase inhibitors (MAOIs).
Choice D rationale: Benzodiazepines are a class of drugs that act on the gamma-aminobutyric acid (GABA) receptors in the brain, producing a calming and sedative effect. They are used to treat anxiety disorders, panic attacks, insomnia, seizures, and alcohol withdrawal. They include drugs such as lorazepam, diazepam and clonazepam.
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