Therapeutic Communication | NCLEX Quiz 204

10 Questions | Total Attempts: 4957

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Therapeutic Communication | NCLEX Quiz 204 - Quiz

All questions are shown, but the results will only be given after you’ve finished the quiz. You are given 1 minute per question, a total of 10 minutes in this quiz.


Questions and Answers
  • 1. 
    After fasting from 10 p.m. the previous evening. a client finds out that the blood test has been canceled. The client swears at the nurse and states. “You are incompetent!” Which is the nurse’s best response?
    • A. 

      “Do you believe that I was the cause of your blood test being canceled?”

    • B. 

      “I see that you are upset. but I feel uncomfortable when you swear at me.”

    • C. 

      “Have you ever thought about ways to express anger appropriately?”

    • D. 

      “I’ll give you some space. Let me know if you need anything.”

  • 2. 
    During a nurse-client interaction. which nursing statement may belittle the client’s feelings and concerns?
    • A. 

      “Don’t worry. Everything will be alright.”

    • B. 

      “You appear uptight.”

    • C. 

      “I notice you have bitten your nails to the quick.”

    • D. 

      “You are jumping to conclusions.”

  • 3. 
    A client on an in-patient psychiatric unit tells the nurse. “I should have died because I am totally worthless.” In order to encourage the client to continue talking about feelings. which should be the nurse’s initial response?
    • A. 

      “How would your family feel if you died?”

    • B. 

      “You feel worthless now. but that can change with time.”

    • C. 

      “You’ve been feeling sad and alone for some time now?”

    • D. 

      “It is great that you have come in for help.”

  • 4. 
    Which nursing response is an example of the nontherapeutic communication block of requesting an explanation?
    • A. 

      “Can you tell me why you said that?”

    • B. 

      “Keep your chin up. I’ll explain the procedure to you.”

    • C. 

      “There is always an explanation for both good and bad behaviors.”

    • D. 

      “Are you not understanding the explanation I provided?”

  • 5. 
    A client states. “You won’t believe what my husband said to me during visiting hours. He has no right treating me that way.” Which nursing response would best assess the situation that occurred?
    • A. 

      “Does your husband treat you like this very often?”

    • B. 

      “What do you think is your role in this relationship?”

    • C. 

      “Why do you think he behaved like that?”

    • D. 

      “Describe what happened during your time with your husband.”

  • 6. 
    Which therapeutic communication technique should the nurse use when communicating with a client who is experiencing auditory hallucinations?
    • A. 

      “My sister has the same diagnosis as you and she also hear voices.”

    • B. 

      “I understand that the voices seem real to you. but I do not hear any voices.”

    • C. 

      “Why not turn up the radio so that the voices are muted.”

    • D. 

      “I wouldn’t worry about these voices. The medication will make them disappear.”

  • 7. 
    Which nursing statement is a good example of the therapeutic communication technique of offering self?
    • A. 

      “I think it would be great if you talked about that problem during our next group session.”

    • B. 

      “Would you like me to accompany you to your electroconvulsive therapy treatment?”

    • C. 

      “I notice that you are offering help to other peers in the milieu.”

    • D. 

      “After discharge. would you like to meet me for lunch to review your outpatient progress?”

  • 8. 
    A client slammed a door on the unit several times. The nurse responds. “You seem angry.” The client states. “I’m not angry.” What therapeutic communication technique has the nurse employed and what defense mechanism is the client unconsciously demonstrating?
    • A. 

      Making observations and the defense mechanism of suppression

    • B. 

      Verbalizing the implied and the defense mechanism of denial

    • C. 

      Reflection and the defense mechanism of projection

    • D. 

      Encouraging descriptions of perceptions and the defense mechanism of displacement

  • 9. 
    Which of the following individuals are communicating a message? (Select all that apply.)
    • A. 

      A mother spanking her son for playing with matches

    • B. 

      A teenage boy isolating himself and playing loud music

    • C. 

      A biker sporting an eagle tattoo on his biceps

    • D. 

      A teenage girl writing. “No one understands me.”

    • E. 

      A father checking for new e-mail on a regular basis

  • 10. 
    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.”

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