The client says, "My marriage is just great. My spouse and I usually agree on everything." The nurse observes the clients foot moving continuously as the client twirls a shirt button. What type of communication is the client presenting?
Abstract message
Concrete message
Incongruent message
Congruent Message
The Correct Answer is C
A. Abstract message: Abstract messages involve conveying ideas or concepts that are not directly observable or tangible. In the scenario described, the client's statement about their marriage being great and usually agreeing on everything is an abstract message as it expresses an idea or perception.
B. Concrete message: Concrete messages are specific and observable behaviors or statements that are clear and direct. The observation of the client's foot moving continuously and twirling a shirt button represents concrete behaviors that are directly observable.
C. Incongruent message: Incongruent messages occur when verbal and nonverbal communication do not align or are contradictory. In the scenario, if the client's verbal statement about the great marriage contrasts with their fidgeting behavior (foot movement, twirling button), it would indicate an incongruent message.
D. Congruent Message: Congruent messages occur when verbal and nonverbal communication align and support each other. If the client's verbal statement about the great marriage is supported by calm and relaxed body language, it would indicate a congruent message.
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Naxlex Comprehensive Predictor Exams
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Correct Answer is D
Explanation
A. Agreeing: Agreeing involves expressing approval or agreement with the client's statements or opinions without critically examining or exploring their content. In the scenario, the nurse's response does not involve agreeing with the client's statement about the spouse's behavior.
B. Giving Information: Giving information involves providing factual information or explanations to the client. The nurse's response in the scenario goes beyond simply providing information and instead offers a direct suggestion regarding what the client should do about their spouse.
C. Verbalizing the implied: Verbalizing the implied involves articulating underlying feelings or messages that the client may not have directly expressed. In the scenario, the nurse's response does not focus on verbalizing the implied feelings but rather provides a straightforward recommendation.
D. Giving Advice: Giving advice involves offering personal opinions, suggestions, or recommendations to the client. In the scenario, the nurse's response of suggesting that the client should divorce and deserves better than their cheating spouse falls under the category of giving advice.
Correct Answer is A
Explanation
A. Rational Emotive Therapy: Rational Emotive Therapy (RET), also known as Rational Emotive Behavior Therapy (REBT), is a type of cognitive-behavioral therapy that focuses on identifying and challenging irrational beliefs and thought patterns. It aims to help individuals develop more rational and adaptive ways of thinking, feeling, and behaving. The nurse's statement of asking the client to consider other reasons for their parent not answering the phone aligns with the principles of RET, where challenging irrational beliefs is a key component.
B. Cognitive Theory: Cognitive Theory, in the context of therapy, refers to approaches that focus on how thoughts and beliefs influence emotions and behaviors. This can include identifying and changing cognitive distortions and negative thought patterns. The nurse's statement reflects a cognitive approach by encouraging the client to consider alternative explanations for the parent's behavior, which can help challenge and modify their negative cognitive patterns.
C. Reality Therapy: Reality Therapy, as mentioned earlier, emphasizes personal responsibility and choices. It focuses on the present and encourages individuals to evaluate their behavior and choices in relation to their goals and values. While the nurse's statement involves considering alternative explanations (which aligns with reality testing), the emphasis on exploring deeper emotional issues and personal responsibility is not as prominent in this scenario.
D. Gestalt Therapy: Gestalt Therapy focuses on the present moment and the client's awareness of their thoughts, feelings, and behaviors. It often involves techniques such as role-playing, empty chair exercises, and focusing on non-verbal cues. While the nurse's statement promotes awareness and exploration of different perspectives, it does not specifically align with the techniques and principles of Gestalt Therapy.
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