Quiz: NCLEX Practice Test On Therapeutic Communication

10 Questions | Total Attempts: 4000

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Quiz: NCLEX Practice Test On Therapeutic Communication - Quiz

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Questions and Answers
  • 1. 
    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?”

  • 2. 
    When the community health nurse visits a patient at home. the patient states. “I haven’t slept the last couple of nights.” Which response by the nurse illustrates a therapeutic communication response to this patient?
    • A. 

      “I see.”

    • B. 

      “Really?”

    • C. 

      “You’re having difficulty sleeping?”

    • D. 

      “Sometimes. I have trouble sleeping too.”

  • 3. 
    A patient experiencing disturbed thought processes believes that his food is has been poisoned. Which communication technique should the use to encourage the patient to eat?
    • A. 

      Using open-ended questions and silence

    • B. 

      Sharing personal preference regarding food choices

    • C. 

      Documenting reasons why the patient does not want to eat

    • D. 

      Offering opinions about the necessity of adequate nutrition

  • 4. 
    A patient admitted to a mental health unit for treatment of psychotic behavior spends hours at the locked exit door shouting. “Let me out. There’s nothing wrong with me. I don’t belong here.” What defense mechanism is the patient implementing?
    • A. 

      Denial

    • B. 

      Projection

    • C. 

      Regression

    • D. 

      Rationalization

  • 5. 
    A patient diagnosed with terminal cancer says to the nurse “I’m going to die. and I wish my family would stop hoping for a cure! I get so angry when they carry on like this. After all. I’m the one who’s dying.” Which response by the nurse is therapeutic?
    • A. 

      “Have you shared your feelings with your family?”

    • B. 

      “I think we should talk more about your anger with your family.”

    • C. 

      “You’re feeling angry that your family continues to hope for you to be cured?”

    • D. 

      “You are probably very depressed. which is understandable with such a diagnosis.”

  • 6. 
    On review of the patient’s record. the nurse notes the admission was voluntary. Based on this information. the nurse anticipates which patient behavior?
    • A. 

      Fearfulness regarding treatment measures.

    • B. 

      Anger and aggressiveness directed toward others.

    • C. 

      An understanding of the pathology and symptoms of the diagnosis.

    • D. 

      A willingness to participate in the planning of the care and treatment plan.

  • 7. 
    A patient admitted voluntarily for the treatment of an anxiety disorder demands to be released from the hospital. Which action should the nurse take INITIALLY?
    • A. 

      Contact the patient’s health care provider (HCP).

    • B. 

      Call the patient’s family to arrange for transportations.

    • C. 

      Attempt to persuade the patient to stay for only a few more days.

    • D. 

      Tell the patient that leaving would likely result in an involuntary commitment.

  • 8. 
    When reviewing the admission assessment. the nurse notes that a patient was admitted to the mental health unit involuntarily. Based on this type of admission. the nurse should provide which intervention for this patient?
    • A. 

      Monitor closely for harm to self or others.

    • B. 

      Assist in completing an application for admission.

    • C. 

      Supply the patient with written information about their mental illness.

    • D. 

      Provide an opportunity for the family to discuss why they felt the admission was needed.

  • 9. 
    The nurse is preparing a patient for the termination phase of the nurse-patient relationship. The nurse prepares to implement which nursing task that is MOST APPROPRIATE for this phase?
    • A. 

      Planning short-term goals

    • B. 

      Making appropriate referrals

    • C. 

      Developing realistic solutions

    • D. 

      Identifying expected outcomes

  • 10. 
    The nurse employed in a mental health clinic is greeted by a neighbor in a local grocery store. The neighbors ask the nurse. “How is Mary doing? She is my best friend and is seen at your clinic every week.” Which is the MOST APPROPRIATE nursing response?
    • A. 

      “I can not discuss any patient situation with you.”

    • B. 

      “If you want to know about Mary. you need t ask her yourself.”

    • C. 

      “Only because you’re worried about a friend. I’ll tell you that she is improving.”

    • D. 

      “Being her friend. you know she is having a difficult time and deserves her privacy.”

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