The nurse asks the client "What was it like for you when you first knew you had no place to go?" The client looks down and pauses for some time. What actions by the nurse is the most therapeutic?

Sit quietly until the client responds

Tell the client they must express the unpleasant feelings

Apologize for asking such a personal question

Change the subject to something the client will discuss

Answer and Explanation

The Correct Answer is A

A. Sit quietly until the client responds: Correct. This allows the client time to process their thoughts and respond at their own pace, showing respect and patience.
B. Tell the client they must express the unpleasant feelings: Incorrect. This directive approach can be intrusive and may pressure the client.
C. Apologize for asking such a personal question: Incorrect. Apologizing might imply that the question was inappropriate, which can shut down communication.
D. Change the subject to something the client will discuss: Incorrect. Changing the subject can convey a lack of interest or avoidance of the client's true feelings.

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Correct Answer is A

Explanation

A. Advising: Advising is a non-therapeutic communication technique because it imposes the nurse’s opinions on the client rather than exploring the client’s thoughts and feelings. It can inhibit the client's self-expression and problem-solving abilities.
B. Silence: Silence is generally a therapeutic technique that allows clients time to think and reflect. It can facilitate deeper conversation and self-exploration.
C. Focusing: Focusing involves directing the client's attention to a particular aspect of their experience or issue. It is a therapeutic technique that helps clients explore specific issues in more depth.
D. Reflecting: Reflecting is a therapeutic technique where the nurse mirrors the client's feelings or thoughts to help them explore and understand their emotions better.

A. "You are in really good shape for your age." B. "This is just a minor setback. You will be back on your feet in no time." C. "You feel as though your life is ending?" D. "The doctors are going to take good care of you. There is nothing to worry about."

Correct Answer is C

Explanation

A. "You are in really good shape for your age." This response minimizes the client’s feelings and focuses on physical condition rather than addressing the emotional and existential concerns expressed by the client.
B. "This is just a minor setback. You will be back on your feet in no time." This response downplays the significance of the client’s feelings and may be perceived as dismissive. It does not address the client’s concerns about the end of life.
C. "You feel as though your life is ending?" This response acknowledges and validates the client’s feelings, providing an opportunity for further exploration and support. It shows empathy and encourages the client to express their emotions.
D. "The doctors are going to take good care of you. There is nothing to worry about." This response reassures the client about medical care but does not address the emotional aspect of the client’s statement regarding the end of life.

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The nurse asks the client "What was it like for you when you first knew you had no place to go?" The client looks down and pauses for some time. What actions by the nurse is the most therapeutic?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following is a non-therapeutic communication technique?

Correct Answer is A

Explanation

A nurse is caring for an older adult client who has a fractured hip. The client says, "I guess I've lived long enough and my time is up." Which of the following responses should the nurse make?

Correct Answer is C

Explanation

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