The nurse can best communicate to a patient that she has been listening by:
Making an evaluation about the patient's problem
Restating the main feelings or thoughts the patient has expressed
Saying "I understand what you're saying."
Offering a leading question such as "And then what happened?"
The Correct Answer is B
Choice A Reason:
Making an evaluation about the patient's problem is incorrect. Making an evaluation may involve the nurse imposing their judgment on the patient's situation, which can hinder effective communication.
Choice B Reason:
Restating the main feelings or thoughts the patient has expressed is correct. Restating the main feelings or thoughts the patient has expressed is a therapeutic communication technique known as paraphrasing. This technique demonstrates active listening and shows the patient that the nurse is paying attention to their concerns. It allows the nurse to reflect back to the patient what has been said, confirming understanding and encouraging further communication.
Choice C Reason:
Saying "I understand what you're saying" is incorrect. While expressing understanding is important, simply stating "I understand" might be perceived as superficial if not accompanied by concrete examples or restatement of the patient's expressed thoughts and feelings.
Choice D Reason:
Offering a leading question such as "And then what happened?", is incorrect. Asking a leading question can be perceived as directive and may steer the conversation in a particular direction. It might not convey the same level of active listening as restating the patient's own words and feelings.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A Reason:
"I pray when I begin to breathe fast". This technique is inappropriate. Using prayer as a coping mechanism can provide emotional support and a sense of comfort for many individuals.
Choice B Reason:
"Exercise when my neck is tense". This technique is inappropriate. Physical activity, such as exercise, is a well-established and effective stress management technique, promoting the release of endorphins and reducing muscle tension.
Choice C Reason:
"Journal when I find it difficult to talk". This technique is inappropriate. Writing in a journal can be a therapeutic way to express thoughts and emotions, providing an outlet for self-reflection and stress reduction.
Choice D Reason:
"Fix myself a pot of coffee when I get anxious" This technique is appropriate. The least effective stress management technique among the options is fixing oneself a pot of coffee. While caffeine might provide a temporary boost in alertness and mood, excessive consumption of caffeinated beverages, especially during times of anxiety, can contribute to increased heart rate, restlessness, and may exacerbate feelings of anxiety. In the long run, relying on caffeine as a coping mechanism may not be the healthiest or most effective approach to managing stress.
Correct Answer is B
Explanation
Choice A Reason:
Facing reality and developing standards for responsible behavior is inappropriate. This goal aligns more with reality therapy or choice theory, which focuses on helping individuals take responsibility for their behavior and make choices that lead to responsible actions.
Choice B Reason:
Examining irrational beliefs and eliminating self-defeating behaviors is appropriate. Beck's cognitive-behavioral therapy (CBT) is based on the premise that thoughts influence feelings and behaviors. The goal of CBT is to identify and change irrational or distorted thoughts that contribute to negative emotions and behaviors. This process involves examining irrational beliefs and challenging cognitive distortions to promote more realistic and adaptive thinking.
Choice C Reason:
Developing satisfactory relationships, maturity, and relative freedom from anxiety is inappropriate. This goal may align with psychodynamic or humanistic approaches that emphasize personal growth, self-awareness, and improvement in relationships.
Choice D Reason:
Reducing body tension through biofeedback training is inappropriate. This goal is more aligned with behavioral approaches that use techniques like biofeedback to address physiological symptoms.
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