What are the goals of therapeutic communication?

Foster a social relationship.

Focus on the attitude of the client.

Focus on the client and to build a rapport.

Focus on the staff member and to build rapport.

Answer and Explanation

The Correct Answer is C

Choice A rationale
While fostering a social relationship can be a part of therapeutic communication, it is not the primary goal. The main focus is on the client’s needs and concerns.
Choice B rationale
Focusing on the attitude of the client is not the primary goal of therapeutic communication. The main goal is to understand the client’s experiences and feelings.
Choice C rationale
The primary goals of therapeutic communication are to focus on the client and to build a rapport. This involves understanding the client’s needs, concerns, and emotions effectively.
Choice D rationale
Focusing on the staff member and building rapport is not the primary goal of therapeutic communication. The main focus should be on the client.

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Correct Answer is C

Explanation

Choice A rationale
While the initial days after admission can be stressful and potentially risky for a patient with suicidal ideation, they are not typically considered the highest risk period.
Choice B rationale
Anniversaries of significant life events can indeed trigger emotional distress and potentially increase suicide risk. However, these are specific time points and not a continuous period of heightened risk.
Choice C rationale
The highest risk for self-harm in a patient with a history of suicidal ideation is often approximately 2 weeks after starting antidepressant medication. This is because as their mood begins to lift, they may still have suicidal thoughts but now have the energy to act on them.
Choice D rationale
While family visits can be emotionally charged and potentially distressing, they do not typically represent the highest risk period for self-harm.

A. Currently pregnant. B. Schizophrenia. C. Alcohol use disorder. D. Substance use disorder. E. Currently married. F. Age greater than 65 years old.

Correct Answer is ["B","C","D","F"]

Explanation

Choice B rationale:
Schizophrenia is a severe mental illness that is characterized by disturbances in thought, perception, emotion, and behavior. It is associated with an increased risk of suicide, with estimates suggesting that up to 10% of individuals with schizophrenia will die by suicide.
Several factors contribute to the increased risk of suicide in individuals with schizophrenia, including:
Hopelessness and despair: Individuals with schizophrenia often experience profound feelings of hopelessness and despair, which can lead to suicidal thoughts and behaviors.
Psychotic symptoms: Psychotic symptoms, such as delusions and hallucinations, can also contribute to suicide risk. For example, an individual with schizophrenia may experience auditory hallucinations that command them to harm themselves.
Impaired judgment: Schizophrenia can impair an individual's judgment and decision-making abilities, which can make it more difficult for them to resist suicidal urges.
Social isolation: Individuals with schizophrenia often experience social isolation, which can further increase their risk of suicide.
Comorbidity with other mental disorders: Schizophrenia is often comorbid with other mental disorders, such as depression and anxiety, which can also increase suicide risk.
Substance abuse: Substance abuse is a common problem among individuals with schizophrenia, and it can further increase suicide risk.
Choice C rationale:
Alcohol use disorder is a chronic, relapsing brain disease characterized by compulsive alcohol use, despite harmful consequences. It is a significant risk factor for suicide, with studies suggesting that individuals with alcohol use disorder are 10-14 times more likely to die by suicide than the general population.
Several factors contribute to the increased risk of suicide in individuals with alcohol use disorder, including: Depression: Alcohol use disorder is often comorbid with depression, which is a major risk factor for suicide. Impulsivity: Alcohol can impair judgment and increase impulsivity, which can lead to suicidal behaviors.
Social isolation: Alcohol use disorder can lead to social isolation, which can increase suicide risk.
Access to lethal means: Individuals with alcohol use disorder may have access to lethal means, such as firearms, which can increase the risk of suicide completion.
Choice D rationale:
Substance use disorder is a chronic, relapsing brain disease characterized by compulsive drug use, despite harmful consequences. It is a significant risk factor for suicide, with studies suggesting that individuals with substance use disorder are 6-12 times more likely to die by suicide than the general population.
Several factors contribute to the increased risk of suicide in individuals with substance use disorder, including: Depression: Substance use disorder is often comorbid with depression, which is a major risk factor for suicide. Impulsivity: Substance use can impair judgment and increase impulsivity, which can lead to suicidal behaviors.
Hopelessness: Individuals with substance use disorder may experience feelings of hopelessness and despair, which can increase suicide risk.
Social isolation: Substance use disorder can lead to social isolation, which can increase suicide risk.
Access to lethal means: Individuals with substance use disorder may have access to lethal means, such as firearms, which can increase the risk of suicide completion.
Choice F rationale:
Age greater than 65 years old is a risk factor for suicide. Suicide rates are highest among older adults, particularly white men over the age of 85.
Several factors contribute to the increased risk of suicide in older adults, including:
Chronic health conditions: Older adults are more likely to experience chronic health conditions, such as pain, disability, and cognitive decline, which can increase suicide risk.
Social isolation: Older adults are more likely to experience social isolation due to factors such as retirement, loss of loved ones, and decreased mobility.
Loss of independence: Older adults may experience a loss of independence due to physical and cognitive decline, which can contribute to suicide risk.
Access to lethal means: Older adults may have access to lethal means, such as firearms or medications, which can increase the risk of suicide completion.

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What are the goals of therapeutic communication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient with a history of suicidal ideation is under observation. When is the patient at the highest risk for self-harm?

Correct Answer is C

Explanation

A nurse is providing a community health education class about suicide prevention. Which of the following should the nurse identify as risk factors for suicide? (Select all that apply).

Correct Answer is ["B","C","D","F"]

Explanation

When communicating with an angry patient, the nurse must first:

During the assessment of a mental health client, it is crucial for the nurse to thoroughly check for symptoms of depression. Which symptom is indicative of Depression?

During the mental status examination, the nurse observes that the client rapidly shifts from one idea to another related thought. Which disordered thinking process is the client displaying?

Upon entrance into a mental health care system, clients are thoroughly assessed, and this is followed by the development of a mental health treatment plan assessment. Which of the following are purposes of the treatment plan? (Select all that apply)

A patient is pacing the hall near the nurse’s station, swearing loudly. What would be an appropriate initial intervention for the nurse?

A recently widowed client is experiencing memory loss, insomnia, loss of appetite, and irritability over the last few months. Which data should the nurse obtain when assessing this client?

True or False: The management of delirium is dependent on its cause, with the primary focus being to address the root cause.

An adult patient assaulted another patient and was subsequently restrained. One hour later, which statement by the restrained patient requires the nurse’s immediate attention?