When practicing therapeutic communication with a client, the nurse demonstrates which of the following listening skills?

Not clarifying messages to avoid interrupting

Avoiding taking notes to detract from listening

Finishing the client's sentences to indicate listening

Changing the environment if there are distractions

Answer and Explanation

The Correct Answer is D

A.   Clarification is a crucial listening skill that involves asking questions or seeking additional information to ensure understanding. Avoiding clarification to prevent interruption can lead to misunderstandings and incomplete communication.
B.   While it is important to be attentive and present during communication, taking notes can be necessary to document important information. The key is to balance note-taking with active listening. If done discreetly, note-taking should not significantly detract from the ability to engage in effective listening.
C.   Finishing the client’s sentences can be perceived as interruptive and may come across as disrespectful or dismissive. It is important for the client to express their thoughts and feelings fully before the nurse responds.
D.   Changing the environment to minimize distractions is a valuable listening skill. A quiet and comfortable setting can enhance effective communication by allowing the client to focus and express themselves without external interruptions. This helps ensure that the nurse can fully concentrate on the client’s message and respond appropriately.

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Correct Answer is C

Explanation

A. While it might be helpful to reduce distractions, forcing someone to sit down can be counterproductive and stressful. It's important to respect the client's needs and preferences.
B. Changing key words might confuse the client further, as they may lose the context of the conversation. It's better to rephrase the sentence using simpler language.
C. This is the most effective communication technique for individuals with Alzheimer's disease. As the disease progresses, language skills deteriorate, and simple communication is easier to understand.
D. While hand gestures can be helpful in some cases, they should be used in conjunction with verbal communication, not as a replacement. Overreliance on gestures can be confusing for the client.

A. A surgical procedure that drills holes in the front of the skull to drain fluid. B. A surgical procedure that severs the frontal lobes of the brain from the thalamus. C. A procedure that delivers an electrical stimulus to the frontal lobes of the brain. D. A surgical procedure that inserts implants into the frontal lobes of the brain.

Correct Answer is A

Explanation

A. Drilling holes in the skull to drain fluid is more aligned with procedures for treating conditions like hydrocephalus (accumulation of cerebrospinal fluid in the brain) rather than a lobotomy. A lobotomy involves more invasive alterations to brain tissue.
B. In a prefrontal lobotomy, the surgeon would sever the connections between the frontal lobes and other parts of the brain, including the thalamus, to disrupt neural pathways. This was done in an attempt to alter behavior and mood. The procedure aimed to modify the function of the frontal lobes to reduce symptoms of severe mental disorders, but it often had significant and detrimental side effects.
C. This description refers to electroconvulsive therapy (ECT), not a lobotomy. ECT involves applying electrical currents to the brain to induce controlled seizures and is used to treat severe depression and other mental health conditions. It is different from the surgical approach of a lobotomy.
D. This description does not accurately describe a lobotomy. The lobotomy procedure involved cutting or damaging brain tissue rather than inserting implants. The insertion of implants into the brain is not characteristic of lobotomy and is not a common practice in the historical context of this procedure.

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When practicing therapeutic communication with a client, the nurse demonstrates which of the following listening skills?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following is an effective communication technique that should be included in the teaching plan for the family members of a woman in whom Alzheimer's disease has been diagnosed recently?

Correct Answer is C

Explanation

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Correct Answer is A

Explanation

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