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

Identify emotions

Listen actively

Explore options

Offer positive comments

Answer and Explanation

The Correct Answer is A

Choice A rationale: This is an important step but it comes second after actively listening to the patient. Understanding the underlying emotions allows the nurse to respond appropriately and address the patient's concerns effectively. By identifying the emotions, the nurse can establish a foundation for constructive communication and work towards resolving the source of anger.
Choice B rationale: Listening actively is an important component of effective communication and it entails paying attention to the client's verbal and non-verbal cues. This shows empathy and an interest in the patient’s concerns.
Choice C rationale: Exploring options is relevant, but it is a subsequent step in the communication process after active listening and identifying emotions.
Choice D rationale: this is inappropriate especially when dealing with an angry patient as it may sound patronizing, insincere, and dismissive.

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Correct Answer is A

Explanation

Choice A rationale: TCAs do not have an immediate mechanism of action and may take approximately 2-4 weeks to have an effect on the neurotransmitters involved in mood regulation hence the brain may take some time to adjust to these changes.
Choice B rationale: 1-2 weeks is too short, and may lead clients to feel discouraged or frustrated if they do not see any results by then hence informing them of the duration it will take before they can realize a change in their mood or anxiety is crucial.
Choice C rationale: 3-4 days is too short, and may lead clients to feel discouraged or frustrated if they do not see any results.
Choice D rationale: 1-2 days is too short and unrealistic gives the client false expectations and may make them think that the drugs are ineffective in their mood and anxiety control.

A. Providing false reassurance B. Use of open-ended questions C. Active listening D. Silence

Correct Answer is A

Explanation

Choice A rationale: providing false reassurances invalidates the client’s feelings and concerns thus making them feel that the nurse is not trustworthy or empathetic. This may hinder the development of a therapeutic relationship.
Choice B rationale: the use of open-ended questions is appropriate since it allows the client to freely express their thoughts and feelings without being limited by the yes or no answers.
Choice C rationale: active listening involves paying attention to the client’s verbal and non-verbal cues and clarifying any possible misunderstandings.
Choice D rationale: silence is crucial since it enables the client to reflect on their thoughts and to process their emotions. Furthermore, it is a form of respect for the client’s feelings.

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

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Naxlex Comprehensive Predictor Exams

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