4.The nurse is interviewing a newly admitted psychiatric
client. Which nursing statement is an example of
Therapeutic Communication NCLEX offering a "general lead"?
Study online at quizlet.com/_2353u2
A. "Do you know why you are here?"
1.Which therapeutic communication technique is being
B. "Are you feeling depressed or anxious?"
used in this nurse-client interaction?
C. "Yes, I see. Go on."
Client: "When I get angry, I get into a fistfight with
D. "Can you chronologically order the events that
my wife or I take it out on the kids."
led to your admission?": ANS: C
Nurse: "I notice that you are smiling as you talk
The nurse's statement, "Yes, I see. Go on." is an
about this physical violence."
example of the therapeutic communication technique of
a general lead. Offering a general lead encourages the
A. Encouraging comparison
client to continue sharing information.
B. Exploring
5.A nurse states to a client, "Things will look better
C. Formulating a plan of action
tomorrow after a good night's sleep." This is an
D. Making observations: ANS: D
example of which communication technique?
The nurse is using the therapeutic communication
technique of making observations when noting that the
A. The therapeutic technique of "giving advice"
client smiles when talking about physical violence. The
B. The therapeutic technique of "defending"
technique of making observations encourages the client
C. The nontherapeutic technique of "presenting
to compare personal perceptions with those of the nurse.
reality"
2.Which therapeutic communication technique is being
D. The nontherapeutic technique of "giving false
used in this nurse-client interaction?
reassurance": ANS: D
Client: "My father spanked me often."
The nurse's statement, "Things will look better tomorrow
Nurse: "Your father was a harsh disciplinarian."
after a good night's sleep." is an example of the
nontherapeutic technique of giving false reassurance.
A. Restatement
Giving false reassurance indicates to the client that there
B. Offering general leads
is no cause for anxiety, thereby devaluing the client's
C. Focusing
feelings.
D. Accepting: ANS: A
6.A client diagnosed with post-traumatic stress disorder
The nurse is using the therapeutic communication
is admitted to an inpatient psychiatric unit for
technique of restatement. Restatement involves
evaluation and medication stabilization. Which
repeating the main idea of what the client has said. The
therapeutic communication technique used by the
nurse uses this technique to communicate that the
nurse is an example of a broad opening?
client's statement has been heard and understood.
3.Which therapeutic communication technique is being
A. "What occurred prior to the rape, and when did
used in this nurse-client interaction?
you go to the emergency department?"
Client: "When I am anxious, the only thing that
B. "What would you like to talk about?"
calms me down is alcohol."
C. "I notice you seem uncomfortable discussing
Nurse: "Other than drinking, what alternatives have
this."
you explored to decrease anxiety?"
D. "How can we help you feel safe during your stay
here?": ANS: B
A. Reflecting
The nurse's statement, "What would you like to talk
B. Making observations
about?" is an example of the therapeutic communication
C. Formulating a plan of action
technique of giving broad openings. Using a broad
D. Giving recognition: ANS: C
opening allows the client to take the initiative in
The nurse is using the therapeutic communication
introducing the topic and emphasizes the importance of
technique of formulating a plan of action to help the
the client's role in the interaction.
client explore alternatives to drinking alcohol. The use of
this technique, rather than direct confrontation regarding 7.A nurse is assessing a client diagnosed with
the client's poor coping choice, may serve to prevent schizophrenia for the presence of hallucinations.
anger or anxiety from escalating. Which therapeutic communication technique used
by the nurse is an example of making observations?
, group leader states, "I'm so proud of you for being
A. "You appear to be talking to someone I do not assertive. You are so good!" Which communication
see." technique has the leader employed?
B. "Please describe what you are seeing."
C. "Why do you continually look in the corner of this A. The nontherapeutic technique of giving approval
room?" B. The nontherapeutic technique of interpreting
D. "If you hum a tune, the voices may not be so C. The therapeutic technique of presenting reality
distracting.": ANS: A D. The therapeutic technique of making
The nurse is making an observation when stating, "You observations: ANS: A
appear to be talking to someone I do not see." Making The group leader has employed the nontherapeutic
observations involves verbalizing what is observed or technique of giving approval. Giving approval implies
perceived. This encourages the client to recognize that the nurse has the right to pass judgment on whether
specific behaviors and make comparisons with the the client's ideas or behaviors are "good" or "bad." This
nurse's perceptions. creates a conditional acceptance of the client.
8.A nurse maintains an uncrossed arm and leg posture. 11.What is the purpose of a nurse providing appropriate
This nonverbal behavior is reflective of which letter feedback?
of the SOLER acronym for active listening?
A. To give the client good advice
A. S B. To advise the client on appropriate behaviors
B. O C. To evaluate the client's behavior
C. L D. To give the client critical information: ANS: D
D. E The purpose of providing appropriate feedback is to give
E. R: ANS: B the client critical information. Feedback should not be
The nurse should identify that maintaining an uncrossed used to give advice or evaluate behaviors.
arm and leg posture is nonverbal behavior that reflects 12.A client who frequently exhibits angry outbursts is
the "O" in the active-listening acronym SOLER. The diagnosed with antisocial personality disorder.
acronym SOLER includes sitting squarely facing the Which appropriate feedback should a nurse provide
client (S), open posture when interacting with the client when this client experiences an angry outburst?
(O), leaning forward toward the client (L), establishing
eye contact (E), and relaxing (R). A. "Why do you continue to alienate your peers by
9.An instructor is correcting a nursing student's clinical your angry outbursts?"
worksheet. Which instructor statement is the best B. "You accomplish nothing when you lose your
example of effective feedback? temper like that."
C. "Showing your anger in that manner is very
A. "Why did you use the client's name on your childish and insensitive."
clinical worksheet?" D. "During group, you raised your voice, yelled at a
B. "You were very careless to refer to your client by peer, left, and slammed the door.": ANS: D
name on your clinical worksheet." The nurse is providing appropriate feedback when
C. "Surely you didn't do this deliberately, but you stating, "During group, you raised your voice, yelled at a
breeched confidentiality by using the client's name." peer, left, and slammed the door." Giving appropriate
D. "It is disappointing that after being told, you're feedback involves helping the client consider a
still using client names on your worksheet.": ANS: C modification of behavior. Feedback should give
The instructor's statement, "Surely you didn't do this information to the client about how he or she is
deliberately, but you breeched confidentiality by using perceived by others. Feedback should not be evaluative
the client's name." is an example of effective feedback. in nature or be used to give advice.
Feedback is a method of communication to help others
consider a modification of behavior. Feedback should be 13.Aclient diagnosed with dependant personality
descriptive, specific, and directed toward a behavior that disorder states, "Do you think I should move from
the person has the capacity to modify and should impart my parent's house and get a job?" Which nursing
information rather than offer advice or criticize the response is most appropriate?
individual.
10.After assertiveness training, a formerly passive client A. "It would be best to do that in order to increase
appropriately confronts a peer in group therapy. The independence."
, B. "Why would you want to leave a secure home?" their ritualistic behaviors."
C. "Let's discuss and explore all of your options." B. "It is important for you to discontinue these
D. "I'm afraid you would feel very guilty leaving your ritualistic behaviors."
parents.": ANS: C C. "Why are you asking for help if you won't
The most appropriate response by the nurse is, "Let's participate in unit therapy?"
discuss and explore all of your options." In this example, D. "Let's figure out a way for you to attend unit
the nurse is encouraging the client to formulate ideas activities and still wash your hands.": ANS: D
and decide independently the appropriate course of The most appropriate statement by the nurse is, "Let's
action. figure out a way for you to attend unit activities and still
14.When interviewing a client, which nonverbal behavior wash your hands." This statement reflects the
should a nurse employ? therapeutic communication technique of formulating a
plan of action. The nurse attempts to work with the client
A. Maintaining indirect eye contact with the client to develop a plan without damaging the therapeutic
B. Providing space by leaning back away from the relationship or increasing the client's anxiety.
client 17.Which example of a therapeutic communication
C. Sitting squarely, facing the client technique would be effective in the planning phase
D. Maintaining open posture with arms and legs of the nursing process?
crossed: ANS: C
When interviewing a client, the nurse should employ the A. "We've discussed past coping skills. Let's see if
nonverbal behavior of sitting squarely, facing the client. these coping skills can be effective now."
Facilitative skills for active listening can be identified by B. "Please tell me in your own words what brought
the acronym SOLER. SOLER includes sitting squarely you to the hospital."
facing the client (S), open posture when interacting with C. "This new approach worked for you. Keep it up."
a client (O), leaning forward toward the client (L), D. "I notice that you seem to be responding to
establishing eye contact (E), and relaxing (R). voices that I do not hear.": ANS: A
15.A mother rescues two of her four children from a This is an example of the therapeutic communication
house fire. In the emergency department, she cries, technique of formulating a plan of action. By the use of
"I should have gone back in to get them. I should this technique, the nurse can help the client plan in
have died, not them." What is the nurse's best advance to deal with a stressful situation which may
response? prevent anger and/or anxiety from escalating to an
unmanageable level.
A. "The smoke was too thick. You couldn't have 18.A client tells the nurse, "I feel bad because my
gone back in." mother does not want me to return home after I
B. "You're feeling guilty because you weren't able to leave the hospital." Which nursing response is
save your children." therapeutic?
C. "Focus on the fact that you could have lost all
four of your children." A. "It's quite common for clients to feel that way
D. "It's best if you try not to think about what after a lengthy hospitalization."
happened. Try to move on.": ANS: B B. "Why don't you talk to your mother? You may find
The best response by the nurse is, "You're experiencing out she doesn't feel that way."
feelings of guilt because you weren't able to save your C. "Your mother seems like an understanding
children." This response utilizes the therapeutic person. I'll help you approach her."
communication technique of reflection which identifies a D. "You feel that your mother does not want you to
client's emotional response and reflects these feelings come back home?": ANS: D
back to the client so that they may be recognized and This is an example of the therapeutic communication
accepted. technique of restatement. Restatement is the repeating
16.A newly admitted client diagnosed with of the main idea that the client has verbalized. This lets
obsessive-compulsive disorder (OCD) washes the client know whether or not an expressed statement
hands continually. This behavior prevents unit has been understood and gives him or her the chance to
activity attendance. Which nursing statement best continue, or clarify if necessary.
addresses this situation?
19.Aclient's younger daughter is ignoring curfew. The
A. "Everyone diagnosed with OCD needs to control client states, "I'm afraid she will get pregnant." The
, nurse responds, "Hang in there. Don't you think she relationship
has a lot to learn about life?" This is an example of D. To communicate that the nurse is listening to the
which communication block? conversation: ANS: C
This is an example of the therapeutic communication
A. Requesting an explanation technique of exploring. The purpose of using exploring is
B. Belittling the client to delve further into the subject, idea, experience, or
C. Making stereotyped comments relationship. This technique is especially helpful with
D. Probing: ANS: C clients who tend to remain on a superficial level of
This is an example of the nontherapeutic communication communication.
block of making stereotyped comments. Clichés and trite 23.A student nurse tells the instructor, "I'm concerned
expressions are meaningless in a therapeutic that when a client asks me for advice I won't have a
nurse-client relationship. good solution." Which should be the nursing
20.Which nursing statement is a good example of the instructor's best response?
therapeutic communication technique of giving
recognition? A. "It's scary to feel put on the spot by a client.
Nurses don't always have the answer."
A. "You did not attend group today. Can we talk B. "Remember, clients, not nurses, are responsible
about that?" for their own choices and decisions."
B. "I'll sit with you until it is time for your family C. "Just keep the client's best interests in mind and
session." do the best that you can."
C. "I notice you are wearing a new dress and you D. "Set a goal to continue to work on this aspect of
have washed your hair." your practice.": ANS: B
D. "I'm happy that you are now taking your Giving advice tells the client what to do or how to
medications. They will really help.": ANS: C behave. It implies that the nurse knows what is best and
This is an example of the therapeutic communication that the client is incapable of any self-direction. It
technique of giving recognition. Giving recognition discourages independent thinking.
acknowledges and indicates awareness. This technique 24.A student nurse is learning about the appropriate use
is more appropriate than complimenting the client which of touch when communicating with clients
reflects the nurse's judgment. diagnosed with psychiatric disorders. Which
21.A client is struggling to explore and solve a problem. statement by the instructor best provides
Which nursing statement would verbalize the information about this aspect of therapeutic
implication of the client's actions? communication?
A. "You seem to be motivated to change your A. "Touch carries a different meaning for different
behavior." individuals."
B. "How will these changes affect your family B. "Touch is often used when deescalating volatile
relationships?" client situations."
C. "Why don't you make a list of the behaviors you C. "Touch is used to convey interest and warmth."
need to change." D. "Touch is best combined with empathy when
D. "The team recommends that you make only one dealing with anxious clients.": ANS: A
behavioral change at a time.": ANS: A Touch can elicit both negative and positive reactions,
This is an example of the therapeutic communication depending on the people involved and the
technique of verbalizing the implied. Verbalizing the circumstances of the interaction.
implied puts into words what the client has only implied 25.Which nursing statement is a good example of the
or said indirectly. therapeutic communication technique of focusing?
22.The nurse asks a newly admitted client, "What can we
do to help you?" What is the purpose of this A. "Describe one of the best things that happened to
therapeutic communication technique? you this week."
B. "I'm having a difficult time understanding what
A. To reframe the client's thoughts about mental you mean."
health treatment C. "Your counseling session is in 30 minutes. I'll stay
B. To put the client at ease with you until then."
C. To explore a subject, idea, experience, or D. "You mentioned your relationship with your
client. Which nursing statement is an example of
Therapeutic Communication NCLEX offering a "general lead"?
Study online at quizlet.com/_2353u2
A. "Do you know why you are here?"
1.Which therapeutic communication technique is being
B. "Are you feeling depressed or anxious?"
used in this nurse-client interaction?
C. "Yes, I see. Go on."
Client: "When I get angry, I get into a fistfight with
D. "Can you chronologically order the events that
my wife or I take it out on the kids."
led to your admission?": ANS: C
Nurse: "I notice that you are smiling as you talk
The nurse's statement, "Yes, I see. Go on." is an
about this physical violence."
example of the therapeutic communication technique of
a general lead. Offering a general lead encourages the
A. Encouraging comparison
client to continue sharing information.
B. Exploring
5.A nurse states to a client, "Things will look better
C. Formulating a plan of action
tomorrow after a good night's sleep." This is an
D. Making observations: ANS: D
example of which communication technique?
The nurse is using the therapeutic communication
technique of making observations when noting that the
A. The therapeutic technique of "giving advice"
client smiles when talking about physical violence. The
B. The therapeutic technique of "defending"
technique of making observations encourages the client
C. The nontherapeutic technique of "presenting
to compare personal perceptions with those of the nurse.
reality"
2.Which therapeutic communication technique is being
D. The nontherapeutic technique of "giving false
used in this nurse-client interaction?
reassurance": ANS: D
Client: "My father spanked me often."
The nurse's statement, "Things will look better tomorrow
Nurse: "Your father was a harsh disciplinarian."
after a good night's sleep." is an example of the
nontherapeutic technique of giving false reassurance.
A. Restatement
Giving false reassurance indicates to the client that there
B. Offering general leads
is no cause for anxiety, thereby devaluing the client's
C. Focusing
feelings.
D. Accepting: ANS: A
6.A client diagnosed with post-traumatic stress disorder
The nurse is using the therapeutic communication
is admitted to an inpatient psychiatric unit for
technique of restatement. Restatement involves
evaluation and medication stabilization. Which
repeating the main idea of what the client has said. The
therapeutic communication technique used by the
nurse uses this technique to communicate that the
nurse is an example of a broad opening?
client's statement has been heard and understood.
3.Which therapeutic communication technique is being
A. "What occurred prior to the rape, and when did
used in this nurse-client interaction?
you go to the emergency department?"
Client: "When I am anxious, the only thing that
B. "What would you like to talk about?"
calms me down is alcohol."
C. "I notice you seem uncomfortable discussing
Nurse: "Other than drinking, what alternatives have
this."
you explored to decrease anxiety?"
D. "How can we help you feel safe during your stay
here?": ANS: B
A. Reflecting
The nurse's statement, "What would you like to talk
B. Making observations
about?" is an example of the therapeutic communication
C. Formulating a plan of action
technique of giving broad openings. Using a broad
D. Giving recognition: ANS: C
opening allows the client to take the initiative in
The nurse is using the therapeutic communication
introducing the topic and emphasizes the importance of
technique of formulating a plan of action to help the
the client's role in the interaction.
client explore alternatives to drinking alcohol. The use of
this technique, rather than direct confrontation regarding 7.A nurse is assessing a client diagnosed with
the client's poor coping choice, may serve to prevent schizophrenia for the presence of hallucinations.
anger or anxiety from escalating. Which therapeutic communication technique used
by the nurse is an example of making observations?
, group leader states, "I'm so proud of you for being
A. "You appear to be talking to someone I do not assertive. You are so good!" Which communication
see." technique has the leader employed?
B. "Please describe what you are seeing."
C. "Why do you continually look in the corner of this A. The nontherapeutic technique of giving approval
room?" B. The nontherapeutic technique of interpreting
D. "If you hum a tune, the voices may not be so C. The therapeutic technique of presenting reality
distracting.": ANS: A D. The therapeutic technique of making
The nurse is making an observation when stating, "You observations: ANS: A
appear to be talking to someone I do not see." Making The group leader has employed the nontherapeutic
observations involves verbalizing what is observed or technique of giving approval. Giving approval implies
perceived. This encourages the client to recognize that the nurse has the right to pass judgment on whether
specific behaviors and make comparisons with the the client's ideas or behaviors are "good" or "bad." This
nurse's perceptions. creates a conditional acceptance of the client.
8.A nurse maintains an uncrossed arm and leg posture. 11.What is the purpose of a nurse providing appropriate
This nonverbal behavior is reflective of which letter feedback?
of the SOLER acronym for active listening?
A. To give the client good advice
A. S B. To advise the client on appropriate behaviors
B. O C. To evaluate the client's behavior
C. L D. To give the client critical information: ANS: D
D. E The purpose of providing appropriate feedback is to give
E. R: ANS: B the client critical information. Feedback should not be
The nurse should identify that maintaining an uncrossed used to give advice or evaluate behaviors.
arm and leg posture is nonverbal behavior that reflects 12.A client who frequently exhibits angry outbursts is
the "O" in the active-listening acronym SOLER. The diagnosed with antisocial personality disorder.
acronym SOLER includes sitting squarely facing the Which appropriate feedback should a nurse provide
client (S), open posture when interacting with the client when this client experiences an angry outburst?
(O), leaning forward toward the client (L), establishing
eye contact (E), and relaxing (R). A. "Why do you continue to alienate your peers by
9.An instructor is correcting a nursing student's clinical your angry outbursts?"
worksheet. Which instructor statement is the best B. "You accomplish nothing when you lose your
example of effective feedback? temper like that."
C. "Showing your anger in that manner is very
A. "Why did you use the client's name on your childish and insensitive."
clinical worksheet?" D. "During group, you raised your voice, yelled at a
B. "You were very careless to refer to your client by peer, left, and slammed the door.": ANS: D
name on your clinical worksheet." The nurse is providing appropriate feedback when
C. "Surely you didn't do this deliberately, but you stating, "During group, you raised your voice, yelled at a
breeched confidentiality by using the client's name." peer, left, and slammed the door." Giving appropriate
D. "It is disappointing that after being told, you're feedback involves helping the client consider a
still using client names on your worksheet.": ANS: C modification of behavior. Feedback should give
The instructor's statement, "Surely you didn't do this information to the client about how he or she is
deliberately, but you breeched confidentiality by using perceived by others. Feedback should not be evaluative
the client's name." is an example of effective feedback. in nature or be used to give advice.
Feedback is a method of communication to help others
consider a modification of behavior. Feedback should be 13.Aclient diagnosed with dependant personality
descriptive, specific, and directed toward a behavior that disorder states, "Do you think I should move from
the person has the capacity to modify and should impart my parent's house and get a job?" Which nursing
information rather than offer advice or criticize the response is most appropriate?
individual.
10.After assertiveness training, a formerly passive client A. "It would be best to do that in order to increase
appropriately confronts a peer in group therapy. The independence."
, B. "Why would you want to leave a secure home?" their ritualistic behaviors."
C. "Let's discuss and explore all of your options." B. "It is important for you to discontinue these
D. "I'm afraid you would feel very guilty leaving your ritualistic behaviors."
parents.": ANS: C C. "Why are you asking for help if you won't
The most appropriate response by the nurse is, "Let's participate in unit therapy?"
discuss and explore all of your options." In this example, D. "Let's figure out a way for you to attend unit
the nurse is encouraging the client to formulate ideas activities and still wash your hands.": ANS: D
and decide independently the appropriate course of The most appropriate statement by the nurse is, "Let's
action. figure out a way for you to attend unit activities and still
14.When interviewing a client, which nonverbal behavior wash your hands." This statement reflects the
should a nurse employ? therapeutic communication technique of formulating a
plan of action. The nurse attempts to work with the client
A. Maintaining indirect eye contact with the client to develop a plan without damaging the therapeutic
B. Providing space by leaning back away from the relationship or increasing the client's anxiety.
client 17.Which example of a therapeutic communication
C. Sitting squarely, facing the client technique would be effective in the planning phase
D. Maintaining open posture with arms and legs of the nursing process?
crossed: ANS: C
When interviewing a client, the nurse should employ the A. "We've discussed past coping skills. Let's see if
nonverbal behavior of sitting squarely, facing the client. these coping skills can be effective now."
Facilitative skills for active listening can be identified by B. "Please tell me in your own words what brought
the acronym SOLER. SOLER includes sitting squarely you to the hospital."
facing the client (S), open posture when interacting with C. "This new approach worked for you. Keep it up."
a client (O), leaning forward toward the client (L), D. "I notice that you seem to be responding to
establishing eye contact (E), and relaxing (R). voices that I do not hear.": ANS: A
15.A mother rescues two of her four children from a This is an example of the therapeutic communication
house fire. In the emergency department, she cries, technique of formulating a plan of action. By the use of
"I should have gone back in to get them. I should this technique, the nurse can help the client plan in
have died, not them." What is the nurse's best advance to deal with a stressful situation which may
response? prevent anger and/or anxiety from escalating to an
unmanageable level.
A. "The smoke was too thick. You couldn't have 18.A client tells the nurse, "I feel bad because my
gone back in." mother does not want me to return home after I
B. "You're feeling guilty because you weren't able to leave the hospital." Which nursing response is
save your children." therapeutic?
C. "Focus on the fact that you could have lost all
four of your children." A. "It's quite common for clients to feel that way
D. "It's best if you try not to think about what after a lengthy hospitalization."
happened. Try to move on.": ANS: B B. "Why don't you talk to your mother? You may find
The best response by the nurse is, "You're experiencing out she doesn't feel that way."
feelings of guilt because you weren't able to save your C. "Your mother seems like an understanding
children." This response utilizes the therapeutic person. I'll help you approach her."
communication technique of reflection which identifies a D. "You feel that your mother does not want you to
client's emotional response and reflects these feelings come back home?": ANS: D
back to the client so that they may be recognized and This is an example of the therapeutic communication
accepted. technique of restatement. Restatement is the repeating
16.A newly admitted client diagnosed with of the main idea that the client has verbalized. This lets
obsessive-compulsive disorder (OCD) washes the client know whether or not an expressed statement
hands continually. This behavior prevents unit has been understood and gives him or her the chance to
activity attendance. Which nursing statement best continue, or clarify if necessary.
addresses this situation?
19.Aclient's younger daughter is ignoring curfew. The
A. "Everyone diagnosed with OCD needs to control client states, "I'm afraid she will get pregnant." The
, nurse responds, "Hang in there. Don't you think she relationship
has a lot to learn about life?" This is an example of D. To communicate that the nurse is listening to the
which communication block? conversation: ANS: C
This is an example of the therapeutic communication
A. Requesting an explanation technique of exploring. The purpose of using exploring is
B. Belittling the client to delve further into the subject, idea, experience, or
C. Making stereotyped comments relationship. This technique is especially helpful with
D. Probing: ANS: C clients who tend to remain on a superficial level of
This is an example of the nontherapeutic communication communication.
block of making stereotyped comments. Clichés and trite 23.A student nurse tells the instructor, "I'm concerned
expressions are meaningless in a therapeutic that when a client asks me for advice I won't have a
nurse-client relationship. good solution." Which should be the nursing
20.Which nursing statement is a good example of the instructor's best response?
therapeutic communication technique of giving
recognition? A. "It's scary to feel put on the spot by a client.
Nurses don't always have the answer."
A. "You did not attend group today. Can we talk B. "Remember, clients, not nurses, are responsible
about that?" for their own choices and decisions."
B. "I'll sit with you until it is time for your family C. "Just keep the client's best interests in mind and
session." do the best that you can."
C. "I notice you are wearing a new dress and you D. "Set a goal to continue to work on this aspect of
have washed your hair." your practice.": ANS: B
D. "I'm happy that you are now taking your Giving advice tells the client what to do or how to
medications. They will really help.": ANS: C behave. It implies that the nurse knows what is best and
This is an example of the therapeutic communication that the client is incapable of any self-direction. It
technique of giving recognition. Giving recognition discourages independent thinking.
acknowledges and indicates awareness. This technique 24.A student nurse is learning about the appropriate use
is more appropriate than complimenting the client which of touch when communicating with clients
reflects the nurse's judgment. diagnosed with psychiatric disorders. Which
21.A client is struggling to explore and solve a problem. statement by the instructor best provides
Which nursing statement would verbalize the information about this aspect of therapeutic
implication of the client's actions? communication?
A. "You seem to be motivated to change your A. "Touch carries a different meaning for different
behavior." individuals."
B. "How will these changes affect your family B. "Touch is often used when deescalating volatile
relationships?" client situations."
C. "Why don't you make a list of the behaviors you C. "Touch is used to convey interest and warmth."
need to change." D. "Touch is best combined with empathy when
D. "The team recommends that you make only one dealing with anxious clients.": ANS: A
behavioral change at a time.": ANS: A Touch can elicit both negative and positive reactions,
This is an example of the therapeutic communication depending on the people involved and the
technique of verbalizing the implied. Verbalizing the circumstances of the interaction.
implied puts into words what the client has only implied 25.Which nursing statement is a good example of the
or said indirectly. therapeutic communication technique of focusing?
22.The nurse asks a newly admitted client, "What can we
do to help you?" What is the purpose of this A. "Describe one of the best things that happened to
therapeutic communication technique? you this week."
B. "I'm having a difficult time understanding what
A. To reframe the client's thoughts about mental you mean."
health treatment C. "Your counseling session is in 30 minutes. I'll stay
B. To put the client at ease with you until then."
C. To explore a subject, idea, experience, or D. "You mentioned your relationship with your
