Testbank -Psychiatric Mental Health Nursing Success

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A client scheduled for major surgery, who is perspiring and nervously picking at the bed linen, says, “I don’t know if I can go through with this surgery.” The nurse responds, “You’d rathe... r not have surgery now?” Which interviewing technique was used by the nurse? 1. Focusing. 2. Reflection. 3. Paraphrasing. 4. Clarification. CRITICAL-THINKING STRATEGY Recognize keywords. A patient scheduled for major surgery, who is perspiring and nervously picking at the bed linen, says, “I don’t know if I can go through with this surgery.” The nurse responds, “You’d rather not have surgery now?” Which interviewing technique was used by the nurse? Recognize who the client is. The patient is the client. Ask what the question is asking. What interviewing technique is being used by the nurse when the nurse says in response to the client, “You’d rather not have surgery now?” Continued 14 Psychiatric Mental Health Nursing Success Critically analyze options in relation to the question. The word in the stem that indicates that this is an application question is used. To identify which technique was used by the nurse, you have to understand the elements of a paraphrasing statement, and you need to be able to recognize a paraphrasing statement when it is used. Although it is helpful to understand the elements of the other interviewing techniques because it will help you eliminate incorrect options, it is not necessary to understand this information to answer the question. Rationales: 1. The example in the stem is not using focusing because the client’s statement was short and contained one message that was reiterated by the nurse. Focusing is used to explore one concern among many statements made by the client. 2. The example in the stem is not using reflection because the nurse’s statement is concerned with the content, not the underlying feeling, of the client’s statement. An example of reflection used by the nurse is, “You seem anxious about having major surgery.” 3. The nurse used paraphrasing because the client’s and nurse’s statements contain the same message but are expressed with different words. 4. The example in the stem is not using clarification. When clarification is used, the nurse is asking the client to further explain what is meant by the client’s statement. An example of clarification used by the nurse is, “I am not quite sure that I know what you mean when you say you would rather not have surgery now.” Eliminate incorrect options. Options 1, 2, and 4 can be eliminated because these techniques are different from the technique portrayed in the nurse’s response in the stem. Analysis Questions: Scrutinize Information! Cognitive Requirements Analysis is the separation of an entity into its constituent parts and examination of their essential features in relation to each other. Analysis questions assume that you know, understand, and can apply information. They ask you to engage in higher-level critical-thinking strategies. To answer analysis-level questions, you first must examine each element of information as a separate entity. Second, you need to investigate the differences among the various elements of information. In other words, you must compare and contrast information. Third, you must analyze the structure and organization of the compared and contrasted information to arrive at a conclusion or answer. Analysis questions often ask you to set priorities and in the stem use words such as first, initially, best, priority, and most important. Beginning nursing students find analysis-level questions the most difficult to answer. Analysis questions demand scrutiny of individual elements of information as well as require identification of differences among elements of information. Sometimes students cannot identify the structural or organizational relationship of elements of information. The challenge of answering analysis questions is performing a complete scrutiny of all the various elements of information and their interrelationships without overanalyzing or “reading into” the question. See TEST SUCCESS: Test-Taking Techniques for Beginning Nursing Students for specific study techniques related to analysis-level questions. [Show More]

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