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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Suppression
Suppression is conscious avoidance of thoughts-not a return to earlier behavior.
B. Regression
Regression is a defense mechanism in which a person reverts to earlier behaviors, typically from childhood, to feel safe (e.g., a toilet-trained child wets themselves during stress).
C. Sublimation
Sublimation is a mature defense mechanism that redirects negative impulses into socially acceptable actions (e.g., aggression into sports).
D. Repression
Repression is unconscious blocking of thoughts or memories—not a behavioral return to earlier stages.
Correct Answer is D
Explanation
A. Phobia
A phobia is an irrational fear of a specific object or situation, not related to social disgrace.
B. Neurosis
Neurosis is a mental condition involving anxiety or distress without psychosis. It doesn't involve social labeling.
C. Paranoia
Paranoia involves delusions of persecution or suspicion, not societal judgment.
D. Stigma
A stigma is a negative label or stereotype attached to a person or group, often causing shame or discrimination.
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