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. "Tell me about the concerns that you have regarding your relationship." B. "I think you should try to see your wife's point of view as well as your own." C. "We should invite your partner to be a part of our discussion." D. "Relationship difficulties are stressful and require effort to resolve."

Correct Answer is B

Explanation

A. "Tell me about the concerns that you have regarding your relationship." This open-ended question encourages the client to share their concerns and is appropriate.
B. "I think you should try to see your wife's point of view as well as your own." This statement provides advice and can appear to be taking sides, which requires intervention.
C. "We should invite your partner to be a part of our discussion." Including the partner in the discussion can be beneficial for family therapy and is appropriate.
D. "Relationship difficulties are stressful and require effort to resolve." This statement validates the client's experience and is appropriate.

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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 observing a newly licensed nurse as she assists in providing family therapy for a client regarding relationship concerns with his spouse. Which of the following statements to the client by the newly licensed nurse requires intervention by the nurse?

Correct Answer is B

Explanation

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