Chapter 8. Therapeutic Communication
Multiple Choice
1.Which therapeutic communication technique is being used in this nurse–client interaction?
Client: “When I get angry, I get into a fistfight with my wife or
...
Chapter 8. Therapeutic Communication
Multiple Choice
1.Which therapeutic communication technique is being used in this nurse–client interaction?
Client: “When I get angry, I get into a fistfight with my wife or I take it out on the kids.”
Nurse: “I notice that you are smiling as you talk about this physical violence.”
A.Encouraging comparison
B.Exploring
C.Formulating a plan of action
D.Making observations
ANS: D
The nurse is using the therapeutic communication technique of making observations when noting that the
client smiles when talking about physical violence. The technique of making observations encourages the client to compare personal perceptions with those of the nurse.
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Evaluation | Client Need:
Psychosocial Integrity
2.Which therapeutic communication technique is being used in this nurse–client interaction?
Client: “My father spanked me often.”
Nurse: “Your father was a harsh disciplinarian.”
A.Restatement
B.Offering general leads
C.Focusing
D.Accepting
ANS: A
The nurse is using the therapeutic communication technique of restatement. Restatement involves repeating the main idea of what the client has said. The nurse uses this technique to communicate that the client’s statement has been heard and understood.
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Evaluation | Client Need:
Psychosocial Integrity
3.Which therapeutic communication technique is being used in this nurse–client interaction?
Client: “When I am anxious, the only thing that calms me down is alcohol.”
Nurse: “Other than drinking, what alternatives have you explored to decrease anxiety?”
A.Reflecting
B.Making observations
C.Formulating a plan of action
D.Giving recognition
ANS: C
The nurse is using the therapeutic communication technique of formulating a plan of action to help the client explore alternatives to drinking alcohol. The use of this technique, rather than direct confrontation regarding the client’s poor coping choice, may serve to prevent anger or anxiety from escalating.
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Evaluation | Client Need:
Psychosocial Integrity
The nurse is interviewing a newly admitted psychiatric client. Which nursing statement
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