When engaged in therapeutic communication with a client who has been diagnosed with a mental disorder, which is the most important principle for a nurse to keep in mind?
The nurse should have an empathetic relationship with the client.
The client is the primary focus of the interaction.
The nurse should self-disclose when indicated.
The client’s conversations should be recorded.
The Correct Answer is B
Choice A reason:
Having an empathetic relationship with the client is important, but it is not the most important principle. Empathy helps build trust and rapport, but the primary focus should always be on the client’s needs and experiences.
Choice B reason:
The client being the primary focus of the interaction is the most important principle in therapeutic communication. This ensures that the nurse’s attention and efforts are directed towards understanding and addressing the client’s concerns, promoting their well-being and recovery.
Choice C reason:
Self-disclosure by the nurse should be used sparingly and only when it benefits the client. While it can help build rapport, it is not the primary focus of therapeutic communication. The nurse’s primary role is to listen and support the client.
Choice D reason:
Recording the client’s conversations is not a standard practice in therapeutic communication and can breach confidentiality. The focus should be on creating a safe and trusting environment where the client feels comfortable sharing their thoughts and feelings.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason:
Maintaining confidentiality is a significant challenge associated with the use of technology in psychiatric-mental health care. Electronic health records and other digital tools can increase the risk of data breaches and unauthorized access to sensitive patient information. Ensuring the privacy and security of patient data is crucial to maintaining trust and compliance with legal and ethical standards.
Choice B reason:
Decreasing fragmented care is actually a potential benefit of technology in mental health care. Digital tools can improve communication and coordination among healthcare providers, leading to more integrated and comprehensive care for patients. Therefore, it is not considered a major challenge.
Choice C reason:
Establishing educational models is an important aspect of integrating technology into healthcare, but it is not the primary challenge. Educational models can be developed and adapted to incorporate new technologies, and this process is generally seen as an opportunity rather than a challenge.
Choice D reason:
Defining professional standards more clearly is also a potential benefit of technology. Digital tools can help standardize practices and ensure consistency in care delivery. While it is important to establish clear standards, this is not considered a major challenge compared to maintaining confidentiality.
Correct Answer is D
Explanation
Choice A reason:
“A relapse plan describes how you use coping strategies for living in the community.” While this is partially true, it does not fully capture the purpose of a relapse plan. A relapse plan is more comprehensive and includes recognizing early warning signs and taking specific actions to prevent a full relapse.
Choice B reason:
“A relapse plan addresses your living, housing, and working needs.” This statement is not accurate. A relapse plan focuses on managing symptoms and preventing relapse rather than addressing broader social needs like housing and employment.
Choice C reason:
“A relapse plan explains how you can be hospitalized if needed.” While hospitalization may be part of a relapse plan, the primary focus is on recognizing early symptoms and taking steps to manage them before hospitalization becomes necessary.
Choice D reason:
“A relapse plan helps your recovery by recognizing symptoms of schizophrenia and provides steps to follow if symptoms are getting worse.” This statement accurately reflects the purpose of a relapse plan. It emphasizes the importance of early recognition and proactive management of symptoms to support the client’s recovery.
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