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Which of the following should be avoided when communicating with a mentally ill patient?

Taking the time to convey respect for the patient

Having an expectation that the patient will get better

Demonstrating through your expression and posture that you are listening

Believing that the patient will not improve

Answer and Explanation

The Correct Answer is D

A. Taking the time to convey respect for the patient

Respect promotes trust and therapeutic alliance.

B. Having an expectation that the patient will get better

Positive expectations support hope and motivation for recovery. They are helpful, not harmful.

C. Demonstrating through your expression and posture that you are listening

Non-verbal communication reinforces that the nurse is engaged and empathetic—a cornerstone of therapeutic communication.

D. Believing that the patient will not improve

This attitude is harmful and defeatist. It may lead to substandard care and a lack of motivation to help the patient engage in treatment.

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Correct Answer is A

Explanation

A. Suppression

Suppression is a conscious defense mechanism where an individual intentionally avoids thinking about distressing thoughts or feelings.

B. Projection

Projection involves attributing one’s own unwanted feelings or impulses to someone else (e.g., accusing someone else of being angry when you're the one feeling it).

C. Regression

Regression is reverting to an earlier developmental stage (e.g., a childlike state) to cope with stress or anxiety.

D. Rationalization

Rationalization is creating logical excuses to justify unacceptable behavior or feelings (e.g., "I failed the test because the teacher doesn’t like me").

A. Leaving the hospital B. Committing suicide C. A decrease in activity D. Refusing to eat

Correct Answer is B

Explanation

A. Leaving the hospital

Although some patients may leave against medical advice (AMA), helplessness and hopelessness are more directly associated with suicide risk, not elopement.

B. Committing suicide

Hopelessness and helplessness are strong indicators of suicidal ideation. These feelings suggest the patient may see no escape from their emotional pain.

C. A decrease in activity

While this could occur in depression, it is a less urgent concern than the immediate risk of suicide.

D. Refusing to eat

This may occur in some psychiatric conditions but is not as directly tied to feelings of hopelessness as suicidal ideation is.

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Which of the following should be avoided when communicating with a mentally ill patient?

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