Question 1

A nurse can best communicate to a patient an interest in listening by:

Accepted Answer

A)  restating the feeling or thought the patient has expressed. 
B)  asking a direct question,such as "Do you feel guilty?" 
C)  expressing an opinion about the patient's problem. 
D)  saying "I understand what you're saying."

Question 2

A nurse interacts with a newly hospitalized patient.Select the example of offering self.

Accepted Answer

A)  "I've also had traumatic life experiences.Maybe it would help if I told you about them." 
B)  "Why do you think you had so much difficulty adjusting to this change in your life?" 
C)  "I hope you will feel better after getting accustomed to how this unit operates." 
D)  "I'd like to sit with you for a while to help you get comfortable talking to me."

Question 3

For each statement by a nurse engaged in an interaction with a patient, mark A if the statement is therapeutic and B if it is not therapeutic
-"I'm glad you were able to tell me how you felt about your loss."

Accepted Answer

The answer of For each statement by a nurse engaged...

Question 4

For each statement by a nurse engaged in an interaction with a patient, mark A if the statement is therapeutic and B if it is not therapeutic
-"You look very nice today.I'm proud you took more time with your appearance."

Accepted Answer

The answer of For each statement by a nurse engaged...

Question 5

A patient cries as the nurse explores the patient's relationship with a deceased parent and says,"I shouldn't be crying like this.It happened a long time ago." Which response(s)by the nurse will facilitate communication? (Select all that apply. )

Accepted Answer

A)  "Why do you think you are so upset?" 
B)  "I can see that you feel sad about this situation." 
C)  "The loss of your parent is very painful for you." 
D)  "Crying is a way of expressing the hurt you're experiencing." 
E)  "Let's talk about something else,since this subject is upsetting you."

Question 6

An African American patient says to a white nurse,"You wouldn't understand me because you live in a white world." Select the nurse's best response.

Accepted Answer

A)  "I understand.All people go through the same experiences." 
B)  Reassure the patient that nurses deal with people from all cultures. 
C)  Gently change the subject to one that is less emotionally charged. 
D)  "Please describe an example of something you think I would not understand."

Question 7

An Asian American patient rarely showed eye contact.This nursing diagnosis was formulated: Situational low self-esteem related to poor social skills as evidenced by lack of eye contact.Interventions to raise the patient's self-esteem were not successful;the patient's eye contact did not improve.Select the best analysis of this scenario.

Accepted Answer

A)  The patient's poor eye contact is indicative of anger and hostility that have not been addressed. 
B)  The nurse should not have independently assessed,diagnosed,and planned for this patient. 
C)  The patient's eye contact should have been addressed by role-playing to increase comfort. 
D)  The nurse should have assessed the patient's culture before making this diagnosis and plan.

Question 8

A patient with paranoid schizophrenia tells the nurse,"The FBI is listening through fluorescent lights in this room.Be careful what you say." Which response by the nurse would be most therapeutic?

Accepted Answer

A)  "Let's talk about something other than the FBI." 
B)  "It sounds like you're concerned about your privacy." 
C)  "The FBI is prohibited from operating in health care facilities." 
D)  "You have lost touch with reality,which is a symptom of your illness."

Question 9

During the first interview with a parent whose child died in a car accident,the nurse feels sorry for the patient and reaches out to take the parent's hand.Select the correct analysis of the nurse's behavior.

Accepted Answer

A)  The parent will perceive the gesture as intrusive and overstepping boundaries. 
B)  It shows empathy and compassion.It will encourage the parent to continue to express feelings. 
C)  The action is inappropriate."No touch" rules are important in all psychiatric interactions. 
D)  The gesture is premature.The patient's cultural and individual interpretation of touch is unknown.

Question 10

A patient is having difficulty making a decision.The nurse is conflicted about whether to provide advice.Which principle usually applies? Giving advice:

Accepted Answer

A)  is rarely helpful. 
B)  fosters independence. 
C)  lifts the burden of personal decision making. 
D)  helps the patient develop feelings of personal adequacy.

Question 11

A nurse documents: "Patient mute despite repeated efforts to elicit speech.No eye contact.Short attention span;less than 1 minute." Which nursing diagnosis should be considered?

Accepted Answer

A)  Defensive coping 
B)  Risk for violence 
C)  Decisional conflict 
D)  Impaired verbal communication

Question 12

For each statement by a nurse engaged in an interaction with a patient, mark A if the statement is therapeutic and B if it is not therapeutic
-"There are people with problems much worse than yours."

Accepted Answer

The answer of For each statement by a nurse engaged...

Question 13

A patient discloses several concerns and associated feelings.If the nurse wishes to seek clarification,which comment would be appropriate?

Accepted Answer

A)  "What are the common elements here?" 
B)  "Tell me again about your experiences." 
C)  "Am I correct in understanding that…" 
D)  "Tell me everything from the beginning."

Exam 10: Communication and the Clinical Interview

A nurse can best communicate to a patient an interest in listening by:

A nurse interacts with a newly hospitalized patient.Select the example of offering self.

For each statement by a nurse engaged in an interaction with a patient, mark A if the statement is therapeutic and B if it is not therapeutic -"I'm glad you were able to tell me how you felt about your loss."

For each statement by a nurse engaged in an interaction with a patient, mark A if the statement is therapeutic and B if it is not therapeutic -"You look very nice today.I'm proud you took more time with your appearance."

A patient cries as the nurse explores the patient's relationship with a deceased parent and says,"I shouldn't be crying like this.It happened a long time ago." Which response(s) by the nurse will facilitate communication? (Select all that apply. )

An African American patient says to a white nurse,"You wouldn't understand me because you live in a white world." Select the nurse's best response.

A patient with paranoid schizophrenia tells the nurse,"The FBI is listening through fluorescent lights in this room.Be careful what you say." Which response by the nurse would be most therapeutic?

During the first interview with a parent whose child died in a car accident,the nurse feels sorry for the patient and reaches out to take the parent's hand.Select the correct analysis of the nurse's behavior.

A patient is having difficulty making a decision.The nurse is conflicted about whether to provide advice.Which principle usually applies? Giving advice:

A nurse documents: "Patient mute despite repeated efforts to elicit speech.No eye contact.Short attention span;less than 1 minute." Which nursing diagnosis should be considered?

For each statement by a nurse engaged in an interaction with a patient, mark A if the statement is therapeutic and B if it is not therapeutic -"There are people with problems much worse than yours."

A patient discloses several concerns and associated feelings.If the nurse wishes to seek clarification,which comment would be appropriate?