Therapeutic Communication Exam 2025

A nurse uses therapeutic communication techniques in order to achieve desired client outcomes. Which communication technique is a part of therapeutic communication? -asking for explanations -showing sympathy to the pt -asking personal questions to the pt -Providing relevant information to the pt - Correct Answer-providing relevant information to the client The nurse asks questions to an older client about experiences and listens attentively. Which therapeutic communication strategy is involved when the older client is recalling the past? -touch -reminiscence -reality orientation -validation therapy - Correct Answer-reminiscence A client who is experiencing acute alcohol withdrawal delirium appears frightened, points toward the bed, and says, "Bugs are crawling all over me and my bed!" What is the most therapeutic response by the nurse? -"just try to brush them off" -"I don't see any bugs on your or your bed" -"They'll go away when you start feeling better" -"The bugs that you see are just the design on the bedspread" - Correct Answer-I don't see any bugs on you or your bed The nurse is interviewing a client admitted for uncontrolled diabetes after binging on alcohol for the past 2 weeks. The client states, "I am worried about how I am going to pay my bills for my family while I am hospitalized." Which statement by the nurse would best elicit information from the client? -"you are worried about paying your bills?" -Don't worry; your bills will get paid eventually" -"When was the last time you were admitted for hyperglycemia?" -"You really shouldn't be drinking alcohol because of your Dx of diabetes" - Correct Answer-You are worried about paying your bills Nursing Nursing The wife of a client who has completed alcohol detoxification relates that she is concerned about her husband's behavior if he starts drinking again. She says, "When the drinking starts it really disrupts my family, and I'm not sure how to handle it." What is the best response by the nurse? -"Include your husband in the family's activities even when he's been drinking." -"Attend Al-Anon meetings and avoid assuming responsibility for your husband's behavior." -"Search the house regularly for hidden alcohol and accompany your husband outside the home." -"Help your husband avoid embarrassment by making excuses for him when it's impossible for him to function." - Correct Answer-Attend Al-Anon meetings and avoid assuming responsibility for your husband's behavior A husband is upset that his wife's alcohol withdrawal delirium has persisted for a second day. What is the most appropriate initial response by the nurse? -"I see that you're worried. We're using medication to ease your wife's discomfort." -"This is expected. I suggest that you go home because there's nothing you can do to help." -"Are you afraid that your wife will die? I assure you, very few alcoholics die during the detoxification process." -"Are you worried that your wife is uncomfortable while she's going through withdrawal? I'm sure that she's not in pain." - Correct Answer-I see that you're worried. We're using medication to ease your wife's discomfort A depressed, withdrawn client exhibits sadness through nonverbal behavior. What should the nurse plan to help the client to do? -increase structured physical activity -cope with painful feelings by sharing them -decide which unit activities the client can perform -improve the ability to communicate with significant others - Correct Answer-cope with painful feelings by sharing them An adult child of a dying client says to the nurse in the nursing home, "I am so upset because my parent is always angry at me." What is the nurse's best initial response? -"your parent is frightened by impending death" -"your parent is working through acceptance of the situation" -"Your parent is attempting to reduce your need for dependency" -"Your parent is hurt that you will not provide physical care at home" - Correct Answer your parent is working through acceptance of the situation Nursing Nursing A client is dying. Hesitatingly, his wife says to the nurse, "I'd like to tell him how much I love him, but I don't want to upset him." Which is the best response by the nurse? -You must keep up a strong appearance for him -i think he'd have difficulty dealing with that now -don't you think he knows that without you telling him? -you should share your feelings with him while you can - Correct Answer-you should share your feelings with him while you can A 16-year-old high school student is referred to a community health center by a local hotline because of the fear of having contracted herpes. The teenager is upset and shares this information with the community health center nurse. What should the nurse's initial response be? -let me get a brief health hx now -try not to worry until you know whether you have herpes -you sound worried. let me make arrangements to have you examined. herpes has received too much attention in the media; let's be realistic. - Correct Answer you sound worried. let me make arrangements to have you examined A child is admitted to the pediatric intensive care unit after an accident at school. The mother, at the child's bedside, is visibly upset. What is the most therapeutic statement the nurse can make? -you must be full of emotions right now -let me give you a referral for social services -your child will get excellent care at this hospital -it's a shame that your child has become ill so suddenly - Correct Answer-you must be full of emotions right now A client leaves group therapy in the middle of the session. The nurse finds the client obviously upset and crying, and the client tells the nurse that the group's discussion was too much to tolerate. What is the most therapeutic initial nursing action at this time? -Request kindly but firmly that the client return to the group to work out conflicts. -Suggest that the client accompany the nurse to a quiet place so that they can talk about the situation. -Ask the group leader what happened in the group session and base interventions on this additional information. -Respect the client's right to decline therapy at this time and report the incident to the rest of the health team members. - Correct Answer-Suggest that the client accompany the nurse to a quiet place so that they can talk about the situation.