Mental Health- Therapeutic commuication P1

Which strategy would the student nurse adopt to analyze and improve their current communication with clients admitted to a behavioral health unit?

take a process recording

why?- A process recording allows the student nurse to analyze their current communication techniques through a written report of their verbal communication.

The nurse is counseling a client to obtain information regarding their current health situation. The nurse would maintain which type of distance while communicating with the clients?

personal

why?- The nurse can have a close conversation with the client while maintaining a distance of 18 to 40 inches

The nurse is caring for a client who is complaining about their treatment in an aggressive tone of voice. Which therapeutic response by the nurse would be most appropriate for attempting to alter the client’s verbal aggression?

“I notice that you are aggressive in your tone of voice.”

why- Verbalizing observations about a client’s behavior encourages the client to develop awareness of how they are perceived by others and promotes exploration of issues that may be problematic.

The nurse is caring for a client with chronic low self-esteem. Which statement made by the nurse indicates an accepting attitude?

“I understand what you’re saying.”

why?- This statement indicates an accepting attitude of reception to and regard for the client.

The nurse manager is beginning to suspect that a nurse may have crossed professional boundaries. Which behavior would lead the nurse manager to suspect this?

The nurse is giving more attention to one client than to other clients in their assignment.

why? - Giving one client more attention over another is a warning sign that professional boundaries have been crossed; giving all clients equal attention does not indicate professional boundaries have been crossed.

The client is upset and wants the nurse to stay by their side because they feel safe and comforted by the nurse. According to Peplau, in which role would the nurse be performing?

surrogate

why? when a client is acutely ill, they may take on the role of a child or infant and perceive the nurse as a parental figure because they feel comforted or safe

The nurse is in the orientation phase of the therapeutic relationship with a client. Which statement is accurate regarding the goal of the nurse during this phase?

promoting client change

why?- Promoting client change should be the nursing goal in the third phase of relationship

A client who lost a spouse in an accident tells the nurse, “Leave me alone. I can’t talk to you.” Which therapeutic technique would be most appropriate for the nurse to use in response to the client’s statement?

Do you feel that no one understands your feelings?

why?- The nurse should put into words what the client has implied or said indirectly. This statement made by the nurse is the best response to the client.

While providing care to a client admitted for unresolved grief from an abusive situation, the nurse pats the client’s back. The client yells and orders the nurse to go away. Which type of response would the client be displaying?

transference

why?- Transference occurs when the client unconsciously displaces feelings to the nurse based on a person from their past.

Which actions of the nurse convey an attitude of respect toward the client? Select all that apply.

• being honest while interacting with the client

• calling the client by name

• spending time with the client

• promoting an atmosphere of privacy during therapeutic interaction

The nurse is caring for a client with situational low self-esteem. Which statement made by the nurse helps the client recognize their life experiences?

“How did you respond when this happened in the past?”

why?- The nurse encourages the client to compare the similarities and differences of experiences and ideas , which helps the client recognize that life experiences may recur.