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Question 1 of 25
1. Question
1 point(s)A patient with a diagnosis of major depression who has attempted suicide says to the nurse, “I should have died! I’ve always been a failure. Nothing ever goes right for me.” Which response demonstrates therapeutic communication?
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Question 2 of 25
2. Question
1 point(s)When the community health nurse visits a patient at home, the patient states, “I haven’t slept the last couple of nights.” Which response by the nurse illustrates a therapeutic communication response to this patient?
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Question 3 of 25
3. Question
1 point(s)A patient experiencing disturbed thought processes believes that his food is has been poisoned. Which communication technique should the nurse use to encourage the patient to eat?
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Question 4 of 25
4. Question
1 point(s)A patient admitted to a mental health unit for treatment of psychotic behavior spends hours at the locked exit door shouting. “Let me out. There’s nothing wrong with me. I don’t belong here.” What defense mechanism is the patient implementing?
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Question 5 of 25
5. Question
1 point(s)A patient diagnosed with terminal cancer says to the nurse “I’m going to die, and I wish my family would stop hoping for a cure! I get so angry when they carry on like this. After all, I’m the one who’s dying.” Which response by the nurse is therapeutic?
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Question 6 of 25
6. Question
1 point(s)On review of the patient’s record, the nurse notes the admission was voluntary. Based on this information, the nurse anticipates which patient’s behavior?
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Question 7 of 25
7. Question
1 point(s)A patient admitted voluntarily for the treatment of an anxiety disorder demands to be released from the hospital. Which action should the nurse take initially?
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Question 8 of 25
8. Question
1 point(s)When reviewing the admission assessment, the nurse notes that a patient was admitted to the mental health unit involuntarily. Based on this type of admission, the nurse should provide which intervention for this patient?
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Question 9 of 25
9. Question
1 point(s)The nurse is preparing a patient for the termination phase of the nurse-patient relationship. The nurse prepares to implement which nursing task that is most appropriate for this phase?
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Question 10 of 25
10. Question
1 point(s)The nurse employed in a mental health clinic is greeted by a neighbor in a local grocery store. The neighbors ask the nurse, “How is Mary doing? She is my best friend and is seen at your clinic every week.” Which is the most appropriate nursing response?
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Question 11 of 25
11. Question
1 point(s)The nurse calls security and has physical restraints applied when a client who is admitted voluntarily becomes both physically and verbally abusive while demanding to be discharged from the hospital. Which represents the possible legal ramifications for the nurse associated with these interventions? Select all that apply.
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Question 12 of 25
12. Question
1 point(s)The nurse in the mental health unit recognizes which of the following as therapeutic communication techniques? Select all that apply.
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Question 13 of 25
13. Question
1 point(s)A patient being seen in the emergency department immediately after being sexually assaulted appears calm and controlled. The nurse analyzes this behavior as indicating which defense mechanism?
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Question 14 of 25
14. Question
1 point(s)A patient’s unresolved feelings related to loss would be most likely observed during which phase of the therapeutic nurse-patient relationship?
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Question 15 of 25
15. Question
1 point(s)Which statement demonstrates the best understanding of the nurse’s role regarding ensuring that each client’s rights are respected?
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Question 16 of 25
16. Question
1 point(s)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 of the kids.”
Nurse: “I notice that you are smiling as you talk about this physical violence.”
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Question 17 of 25
17. Question
1 point(s)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.”
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Question 18 of 25
18. Question
1 point(s)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?”
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Question 19 of 25
19. Question
1 point(s)Nurse Patrick is interviewing a newly admitted psychiatric client. Which nursing statement is an example of offering a general lead?
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Question 20 of 25
20. Question
1 point(s)A nurse states to a client, “Things will look better tomorrow after a good night’s sleep.” This is an example of which communication technique?
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Question 21 of 25
21. Question
1 point(s)A client diagnosed with post-traumatic stress disorder is admitted to an inpatient psychiatric unit for evaluation and medication stabilization. Which therapeutic communication technique used by the nurse is an example of a broad opening?
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Question 22 of 25
22. Question
1 point(s)A nurse is assessing a client diagnosed with schizophrenia for the presence of hallucinations. Which therapeutic communication technique used by the nurse is an example of making observations?
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Question 23 of 25
23. Question
1 point(s)A nurse maintains an uncrossed arm and leg posture. This nonverbal behavior is reflective of which letter of the SOLER acronym for active listening?
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Question 24 of 25
24. Question
1 point(s)An instructor is correcting a nursing student’s clinical worksheet. Which instructor statement is the best example of effective feedback?
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Question 25 of 25
25. Question
1 point(s)After assertiveness training, a formerly passive client appropriately confronts a peer in group therapy. The group leader states, “I’m so proud of you for being assertive. You are so good!” Which communication technique has the leader employed?
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