3. Which therapeutic communication technique is being used in this nurse-client interaction?
Client: "When I am anxious, the only thing that calms me down is alcohol."
Nurse: "Other than drinking, what alternatives have you explored to decrease anxiety?"
A. Reflecting
B. Making observations
C. Formulating a plan of action
D. Giving recognition
4. What is the purpose of a nurse providing appropriate feedback?
A. To give the client good advice
B. To advise the client on appropriate behaviors
C. To evaluate the client's behavior
D. To give the client critical information
4.Ac l
ie
ntdiagnos
edwithpost
-traumatics
tressdis
orderisa
dmit
te
dt oa
nin
pat
ientps
y c
hiatr
ic
uni
tforeval
uati
onandme di
cat
ionsta
bili
zat
ion.Whichther
apeut
iccommuni
cat
iontechnique
use
db ythenursei
sanexampleofabr oadopening?
A.Wh a
toccurr
edpri
ortotherape,andwhe ndi
dyougotot
hee
mer
genc
yde
par
tme
nt?
B.“Whatwouldyouli
ketot a
lkabout?”
C.Inot
iceyousee
munc omforta
blediscus
singt
his
.
D.Howc anwehelpyoufeelsaf
eduringyourst
ayher
e?
5. When interviewing a client, which nonverbal behavior should a nurse employ?
A. Maintaining indirect eye contact with the client
B. Providing space by leaning back away from the client
C. Sitting squarely, facing the client
D. Maintaining open posture with arms and legs crossed
6. An angry client on an inpatient unit approaches a nurse stating, "Someone took my lunch!
People need to respect others, and you need to do something about this now!" The nurse's
response should be guided by which basic assumption of milieu therapy?
A. Conflict should be avoided at all costs on inpatient psychiatric units.
B. Conflict should be resolved by the nursing staff.
C. Every interaction is an opportunity for therapeutic intervention.
D. Conflict resolution should only be addressed during group therapy.
, 23. Which nursing behavior will enhance the establishment of a trusting relationship with a
client diagnosed with schizophrenia?
A. Establishing personal contact with family members.
B. Being reliable, honest, and consistent during interactions.
C. Sharing limited personal information.
D. Sitting close to the client to establish rapport.
A nurse interacts with a newly hospitalized patient. Select the nurse's comment that applies the
communication technique of "offering self."
a. "I've also had traumatic life experiences. Maybe it would help if I told you about them."
b. "Why do you think you had so much difficulty adjusting to this change in your life?"
c. "I hope you will feel better after getting accustomed to how this unit operates."
d. "I'd like to sit with you for a while to help you get comfortable talking to me."
A patient with a diagnosis of major depression who has attempted suicide says to the nurse, "I
should have died! I've always been a failure. Nothing ever goes right for me." Which response
demonstrates therapeutic communication?
A "You have everything to live for."
B "Why do you see yourself as a failure?"
C "Feeling like this is all part of being depressed."
D. "You've been feeling like a failure for a while?"
A client diagnosed with dependant personality disorder states, "Do you think I should move from
my parent's house and get a job?" Which nursing response is most appropriate?
A "It would be best to do that in order to increase independence."
B "Why would you want to leave a secure home?"
C "Let's discuss and explore all of your options."
D "I'm afraid you would feel very guilty leaving your parents."
A mother rescues two of her four children from a house fire. In the emergency
department, she cries, "I should have gone back in to get them. I should have died, not
them." What is the nurse's best response?
A "The smoke was too thick. You couldn't have gone back in."
B "You're feeling guilty because you weren't able to save your children."
C "Focus on the fact that you could have lost all four of your children."
D "It's best if you try not to think about what happened. Try to move on."
A newly admitted client diagnosed with obsessive-compulsive disorder (OCD) washes hands
continually. This behavior prevents unit activity attendance. Which nursing statement best
addresses this situation?
A "Everyone diagnosed with OCD needs to control their ritualistic behaviors."
B "It is important for you to discontinue these ritualistic behaviors."
C "Why are you asking for help if you won't participate in unit therapy?"
D "Let's figure out a way for you to attend unit activities and still wash your hands."
Client: "When I am anxious, the only thing that calms me down is alcohol."
Nurse: "Other than drinking, what alternatives have you explored to decrease anxiety?"
A. Reflecting
B. Making observations
C. Formulating a plan of action
D. Giving recognition
4. What is the purpose of a nurse providing appropriate feedback?
A. To give the client good advice
B. To advise the client on appropriate behaviors
C. To evaluate the client's behavior
D. To give the client critical information
4.Ac l
ie
ntdiagnos
edwithpost
-traumatics
tressdis
orderisa
dmit
te
dt oa
nin
pat
ientps
y c
hiatr
ic
uni
tforeval
uati
onandme di
cat
ionsta
bili
zat
ion.Whichther
apeut
iccommuni
cat
iontechnique
use
db ythenursei
sanexampleofabr oadopening?
A.Wh a
toccurr
edpri
ortotherape,andwhe ndi
dyougotot
hee
mer
genc
yde
par
tme
nt?
B.“Whatwouldyouli
ketot a
lkabout?”
C.Inot
iceyousee
munc omforta
blediscus
singt
his
.
D.Howc anwehelpyoufeelsaf
eduringyourst
ayher
e?
5. When interviewing a client, which nonverbal behavior should a nurse employ?
A. Maintaining indirect eye contact with the client
B. Providing space by leaning back away from the client
C. Sitting squarely, facing the client
D. Maintaining open posture with arms and legs crossed
6. An angry client on an inpatient unit approaches a nurse stating, "Someone took my lunch!
People need to respect others, and you need to do something about this now!" The nurse's
response should be guided by which basic assumption of milieu therapy?
A. Conflict should be avoided at all costs on inpatient psychiatric units.
B. Conflict should be resolved by the nursing staff.
C. Every interaction is an opportunity for therapeutic intervention.
D. Conflict resolution should only be addressed during group therapy.
, 23. Which nursing behavior will enhance the establishment of a trusting relationship with a
client diagnosed with schizophrenia?
A. Establishing personal contact with family members.
B. Being reliable, honest, and consistent during interactions.
C. Sharing limited personal information.
D. Sitting close to the client to establish rapport.
A nurse interacts with a newly hospitalized patient. Select the nurse's comment that applies the
communication technique of "offering self."
a. "I've also had traumatic life experiences. Maybe it would help if I told you about them."
b. "Why do you think you had so much difficulty adjusting to this change in your life?"
c. "I hope you will feel better after getting accustomed to how this unit operates."
d. "I'd like to sit with you for a while to help you get comfortable talking to me."
A patient with a diagnosis of major depression who has attempted suicide says to the nurse, "I
should have died! I've always been a failure. Nothing ever goes right for me." Which response
demonstrates therapeutic communication?
A "You have everything to live for."
B "Why do you see yourself as a failure?"
C "Feeling like this is all part of being depressed."
D. "You've been feeling like a failure for a while?"
A client diagnosed with dependant personality disorder states, "Do you think I should move from
my parent's house and get a job?" Which nursing response is most appropriate?
A "It would be best to do that in order to increase independence."
B "Why would you want to leave a secure home?"
C "Let's discuss and explore all of your options."
D "I'm afraid you would feel very guilty leaving your parents."
A mother rescues two of her four children from a house fire. In the emergency
department, she cries, "I should have gone back in to get them. I should have died, not
them." What is the nurse's best response?
A "The smoke was too thick. You couldn't have gone back in."
B "You're feeling guilty because you weren't able to save your children."
C "Focus on the fact that you could have lost all four of your children."
D "It's best if you try not to think about what happened. Try to move on."
A newly admitted client diagnosed with obsessive-compulsive disorder (OCD) washes hands
continually. This behavior prevents unit activity attendance. Which nursing statement best
addresses this situation?
A "Everyone diagnosed with OCD needs to control their ritualistic behaviors."
B "It is important for you to discontinue these ritualistic behaviors."
C "Why are you asking for help if you won't participate in unit therapy?"
D "Let's figure out a way for you to attend unit activities and still wash your hands."
