HESI SAUNDERS BEHAVIORAL HEALTH
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FOUNDATIONS OF MENTAL HEALTH NURSING
Ans: FOUNDATIONS OF MENTAL HEALTH NURSING
A client with a diagnosis of 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 by the nurse
demonstrates therapeutic communication?
1. "You have everything to live for."
2. "Why do you see yourself as a failure?"
3. "Feeling like this is all part of being depressed."
4. "You've been feeling like a failure for a while?
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Ans: 4
Responding to the feelings expressed by a client is an effective
therapeutic communication technique. The correct option is an example
of the use of restating. The remaining options block communication
because they minimize the client's experience and do not facilitate
exploration of the client's expressed feelings. In addition, use of the word
why is nontherapeutic.
The nurse visits a client at home. The client states, "I haven't slept at
all the last couple of nights." Which response by the nurse
demonstrates therapeutic communication?
1. "I see."
2. "Really?"
3. "You're having difficulty sleeping?"
4. "Sometimes I have trouble sleeping too."
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Ans: 3
The correct option uses the therapeutic communication technique of
restatement. Although restatement is a technique that has a prompting
component to it, it repeats the client's major theme, which assists the
nurse to obtain a more specific perception of the problem from the client.
The remaining options are not therapeutic responses since none
encourages the client to expand on the problem. Offering personal
experiences moves the focus away from the client and onto the nurse.
A client experiencing disturbed thought processes believes that his
food is being poisoned. Which communication technique should the
nurse use to encourage the client to eat?
1. Using open-ended questions and silence
2. Sharing personal preference regarding food choices
3. Documenting reasons why the client does not want to eat
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4. Offering opinions about the necessity of adequate nutrition
Ans: 1
Open-ended questions and silence are strategies used to encourage
clients to discuss their problems. Sharing personal food preferences is not
a client-centered intervention. The remaining options are not helpful to
the client because they do not encourage the client to express feelings.
The nurse should not offer opinions and should encourage the client to
identify the reasons for the behavior.
The nurse should plan which goals of the termination stage of group
development? (SELECT ALL THAT APPLY.)
1. The group evaluates the experience.
2. The real work of the group is accomplished.
3. Group interaction involves superficial conversation.
4. Group members become acquainted with one another.