Therapeutic Communication NCLEX Quiz

During a panic situation, the best way for a nurse to communicate with a patient is to hold their hand, calm them down, and listen to them properly. Holding their hand provides physical reassurance and comfort, helping to establish a sense of trust and safety. Calming the patient down allows them to regain control over their emotions and thoughts, enabling effective communication. By actively listening to the patient, the nurse can understand their concerns, address them appropriately, and provide the necessary support and care. This approach promotes a therapeutic nurse-patient relationship and facilitates effective communication in a stressful situation.

The correct answer is to let the patient feel he is being heard, and he will definitely not face the same situation again. This is the most appropriate response as a nurse because it acknowledges the patient's complaint and ensures that they feel listened to and understood. By addressing the patient's concerns and taking steps to prevent a recurrence of the bad behavior, the nurse can help improve the patient's experience and maintain a positive relationship.

The correct answer is "Let's figure out a way for you to attend unit activities and still wash your hands." This statement acknowledges the client's need to wash their hands due to their OCD, while also addressing the issue of them not being able to attend unit activities. It shows a willingness to work with the client to find a solution that accommodates their needs while also allowing them to participate in therapy.

When patience is telling something very important in his statement, focus becomes the most important aspect. This means that patience needs to concentrate and pay attention to what he is saying, ensuring that he is fully engaged in the conversation. By being focused, patience can effectively convey his message and ensure that it is understood and valued by the listener.

The correct answer is "You feel that your mother does not want you to come back home?" This response reflects active listening and empathy, as it acknowledges the client's feelings and allows them to further express their concerns. It also opens up the opportunity for the nurse to explore the client's relationship with their mother and provide appropriate support and guidance.

The answer "I notice you are wearing a new dress, and you have washed your hair" is a good example of the therapeutic communication technique of giving recognition because it acknowledges and appreciates the patient's efforts and appearance, showing that the nurse is paying attention and validating their actions. This statement helps to build rapport and trust between the nurse and the patient, promoting a therapeutic relationship.

The correct answer is effective in the planning phase of the nursing process because it acknowledges the patient's past coping skills and suggests evaluating their effectiveness in the present situation. This aligns with the goal of the planning phase, which is to create a plan of care based on the patient's individual needs and resources.

The purpose of the nurse asking the client "What can we do to help you?" is to explore a subject, idea, experience, or relationship. By asking this question, the nurse is encouraging the client to express their needs, concerns, and preferences. It allows the nurse to gather information about the client's specific situation and tailor their care accordingly. This therapeutic communication technique helps to establish a trusting and collaborative relationship between the nurse and the client, facilitating effective care and support.

The statement "You mentioned your relationship with your father. Let's discuss that further" is a good example of the therapeutic communication technique of focusing because it directs the conversation towards a specific topic that the patient has brought up. By acknowledging and exploring the patient's mention of their relationship with their father, the nurse is demonstrating active listening and showing a willingness to delve deeper into a potentially important issue for the patient. This technique helps to establish trust and encourage the patient to open up further about their concerns or experiences.

The correct answer is "Touch carries a different meaning for different individuals." This statement best provides information about the appropriate use of touch when communicating with clients diagnosed with psychiatric disorders. It acknowledges that the meaning of touch can vary from person to person and emphasizes the importance of understanding and respecting individual boundaries and preferences. This understanding is crucial in maintaining a therapeutic and respectful relationship with clients.

The correct answer implies that the client is showing a willingness and desire to make a change in their behavior. This statement acknowledges the client's motivation and suggests that they are actively working towards solving their problem.

In this scenario, the patient expresses his uneasy feelings to the nurse. Sharing empathy is the best response in this situation because it shows the patient that the nurse understands and cares about his emotions. By sharing empathy, the nurse can provide emotional support, validate the patient's feelings, and create a therapeutic environment where the patient feels heard and understood. This can help build trust and rapport between the nurse and the patient, ultimately enhancing the patient's overall experience and well-being.

The nurse's response of "Hang in there. she has a lot to learn about life, isn't it?" is an example of making stereotyped comments. The nurse is making a generalization about the client's daughter based on her behavior, assuming that she will get pregnant because she is ignoring curfew. This comment lacks empathy and understanding, and it may perpetuate negative stereotypes about young people and their choices.

The correct answer emphasizes the importance of client autonomy and responsibility. It reminds the student nurse that it is not their role to have all the answers or make decisions for the client. Instead, the nurse should support the client in making their own choices and decisions. This response promotes client-centered care and empowers the client to take ownership of their healthcare decisions.

Sharing humor is the best way to build the feeling of togetherness with the patient because laughter has the power to create a positive and friendly atmosphere. When a healthcare provider shares humor with a patient, it helps to establish a connection and build rapport. It can also help alleviate stress and anxiety, making the patient feel more comfortable and relaxed. Additionally, humor can enhance communication and promote a sense of togetherness, as both the healthcare provider and the patient can share in the laughter together.