Which of the following are examples of a nurse using non-therapeutic communication techniques? (Select all that apply)
Focusing on the nurse rather than the client
Making value judgments
Giving advice
Using active listening
The Correct Answer is A
Choice A reason: Focusing on the nurse’s experiences shifts attention from the patient, undermining therapeutic communication. This violates psychiatric nursing principles, which prioritize patient-centered dialogue to build trust and explore feelings, making this a non-therapeutic technique that disrupts effective mental health care.
Choice B reason: Making value judgments imposes the nurse’s beliefs on the patient, creating a judgmental environment. This hinders open communication, fosters defensiveness, and undermines trust, contrary to therapeutic communication goals in mental health nursing, making this a correct choice for non-therapeutic behavior.
Choice C reason: Giving advice assumes the nurse knows best, disempowering the patient and limiting self-exploration. Therapeutic communication encourages patients to find their own solutions, making advice-giving non-therapeutic, as it disrupts autonomy and trust, correctly identifying this as a non-therapeutic technique.
Choice D reason: Active listening, involving empathy and nonverbal cues, is a cornerstone of therapeutic communication. It fosters trust and validates patient feelings, essential in mental health care. This technique enhances therapeutic relationships, making it incorrect as a non-therapeutic communication example.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Command hallucinations directing harmful actions, like throwing a plate, indicate a severe psychotic state posing imminent danger to others. This meets criteria for emergency or involuntary admission to ensure safety and stabilize the mental illness, making this the correct choice.
Choice B reason: Staying in their room during outpatient therapy suggests withdrawal but not imminent danger. Outpatient settings allow autonomy, and this behavior does not warrant emergency admission unless accompanied by severe risk, making this choice incorrect for involuntary intervention.
Choice C reason: Requesting to speak with a nurse indicates engagement with care, not a crisis requiring emergency admission. It reflects a desire for support, not danger to self or others, making this choice inappropriate for involuntary hospitalization in mental health settings.
Choice D reason: Playing cards alone during group therapy suggests social withdrawal, not an acute crisis. This behavior does not indicate imminent danger or severe mental instability requiring emergency admission, making it incorrect compared to violent actions driven by hallucinations.
Correct Answer is A
Explanation
Choice A reason: MAOIs inhibit monoamine oxidase, increasing catecholamine levels. Consuming tyramine-rich foods or certain drugs can cause excessive norepinephrine release, leading to a hypertensive crisis with severe blood pressure elevation. This life-threatening condition requires strict dietary and drug restrictions, making this the correct nursing consideration.
Choice B reason: Hypoglycemia is unrelated to MAOIs, which primarily affect neurotransmitter metabolism, not glucose regulation. MAOIs do not interact with insulin or glucose pathways, and dietary restrictions focus on tyramine, not sugars. This condition is not a risk associated with MAOI use, making this choice incorrect.
Choice C reason: Hypotensive shock is not a primary risk of MAOIs. While orthostatic hypotension can occur, the more critical concern is hypertensive crisis due to tyramine interactions. Hypotensive shock is unrelated to MAOI pharmacology or dietary restrictions, making this an incorrect choice for nursing instructions.
Choice D reason: Cardiac dysrhythmias are not a primary risk of MAOI-related food or drug interactions. While cardiovascular effects like hypertension can occur, the specific risk is hypertensive crisis, not arrhythmias. This choice does not accurately reflect the primary concern of MAOI use, making it incorrect.
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