The nurse’s ability to use therapeutic communication eﬀectively in the mental health setting depends on:

How well the client communicates.

The nurse’s understanding of mental health disorders.

The nurse’s ability to listen and observe the clients verbal and non-verbal messages.

The nurse’s relationship with the client.

Answer and Explanation

The Correct Answer is C

The nurse’s ability to listen and observe the client’s verbal and non-verbal messages. Eﬀective communication in the mental health setting requires the nurse to actively listen to the client and to pay close attention to their verbal and non-verbal cues. By doing so, the nurse can better understand the client’s needs and concerns and can provide appropriate support and guidance.

While the nurse’s understanding of mental health disorders (b) and their relationship with the client (d) can also play a role in eﬀective communication, the ability to listen and observe is a fundamental skill that is essential for eﬀective therapeutic communication. The client’s ability to communicate (a) is also important, but it is ultimately the nurse’s responsibility to use eﬀective communication techniques to facilitate the therapeutic process.

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Correct Answer is C

Explanation

Trust is an essential component of a therapeutic relationship between a healthcare provider and a patient. By promising to return and re-assess the client's pain in a timely manner, the nurse is demonstrating reliability and follow-through, which can help to build trust between the nurse and the client.

Option c is therefore the correct answer.

Sympathy refers to feeling sorry for someone's situation or emotions.

Empathy is the ability to understand and share the feelings of another person.

Closure refers to the process of ending a therapeutic relationship in a way that is satisfactory for both the patient and the healthcare provider. None of these options accurately describes the aspect of the therapeutic relationship that the nurse is developing in this scenario.

A. Call the physician to ask for clarification. B. Check the states nurse practice act. C. Refer to the facility’s policy and procedures to determine the course of action. D. Contact the nursing supervisor for approval to carry out treatment.

Correct Answer is C

Explanation

When faced with an unfamiliar treatment instruction, it is important for the nurse to consult the facility’s policies and procedures to determine the appropriate course of action. These policies and procedures provide guidance on how to carry out treatments safely and eﬀectively and can help ensure that the patient receives the best possible care.

While it may also be appropriate for the nurse to call the physician for clarification (a), check the state’s nurse practice act (b), or contact the nursing supervisor for approval (d), consulting the facility’s policies and procedures should be the first step in determining the appropriate course of action.

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The nurse’s ability to use therapeutic communication eﬀectively in the mental health setting depends on:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse tells a client that she will be back in 10 minutes to re-assess the client’s pain. When the nurse returns in 10 minutes, which aspect of the therapeutic relationship is the nurse developing?

Correct Answer is C

Explanation

An order written by the physician is reviewed by the nursing staﬀ, and no one is familiar with the treatment instructions. A nurse who is recently hired knows that this treatment is covered by the states nurse practice act. What is the nurses’ best course of action?

Correct Answer is C

Explanation

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