NCLEX QUESTIONS THERAPEUTIC COMMUNICATION. ALL EXAM REVISION QUESTIONS AND CORRECT ANSWERS (ALREADY GRADED A+) (2024 UPDATE) 100% GUARANTEED
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Course
THERAPEUTIC COMMUNICATION
Institution
THERAPEUTIC COMMUNICATION
NCLEX QUESTIONS THERAPEUTIC COMMUNICATION. ALL EXAM
REVISION QUESTIONS AND CORRECT ANSWERS (ALREADY
GRADED A+) (2024 UPDATE) 100% GUARANTEED.
A patient recovering from a bilateral mastectomy for breast cancer tearfully tells the nurse that she
is feeling depressed and worthless as a woman. Wh...
NCLEX QUESTIONS THERAPEUTIC COMMUNICATION. ALL EXAM
REVISION QUESTIONS AND CORRECT ANSWERS (ALREADY
GRADED A+) (2024 UPDATE) 100% GUARANTEED
A patient recovering from a bilateral mastectomy for breast cancer tearfully tells the nurse that she
is feeling depressed and worthless as a woman. Which communication phrase is not effective?
1 "Many women have body image concerns after undergoing this surgery."
2 "Tell me more about how you feel."
3 "Why do you feel depressed and worthless?"
4 "How long have you been feeling this way?" - ANSWER- 3 Rationale: The use of "why"
questions may cause defensiveness in the patient and hinder communication. The other options
promote communication by encouraging the patient to communicate.
Which initial approach would be best when working with an anxious patient?
1 Tell the patient that everything he or she says will be kept private.
2 Ask the patient what he or she believes is causing his or her anxiety.
3 Watch the patient's behavior for the amount of anxiety being exhibited.
4 Explain what the patient can expect in terms that he or she can understand. - ANSWER- 3
Rationale: The nurse needs to first assess the level of anxiety so appropriate communication
techniques and strategies can be used. The patient may not have the insight to understand what is
currently causing his or her behavior.
,A nurse is working with a potentially threatening patient. Which nursing intervention is most
appropriate?
1 Speaking clearly and slightly louder so the patient does not need the nurse to repeat what was
said.
2 Positioning himself or herself near the exit of the room to prevent being blocked by the patient.
3 Bringing in other team members so the patient knows there are others to help him or her gain
control.
4 Asking the patient which comfort measures he or she uses when he or she becomes out of control.
- ANSWER- 2 Rationale: Speaking louder and bringing in other team members may be
perceived as threatening and may cause the patient's behavior to become out of control faster. The
patient may not be aware of his or her behavior; therefore asking about comfort measures to relieve
the threatening behavior may also cause him or her to escalate. The nurse may need to leave the
room quickly. By positioning himself or herself near the door, he or she should not be trapped by
the patient.
A visitor from another country became ill and required hospitalization. He is having difficulty
getting the staff to understand his needs. Which approach by the nurse demonstrates the most
cultural sensitivity?
1 Asking one of the patient's family members to help with the communication process
2 Using good eye contact while speaking clearly with easily understood words
3 Obtaining a medical interpreter to facilitate the communication process
,4 Touching the patient more often while assessing him to make him feel that the nurse cares about
him - ANSWER- 3 Rationale: Direct eye contact and excessive touch can be offensive to
persons from certain cultures. The patient's right to privacy must be guarded; therefore the use of
a medical interpreter provides for correct, confidential communication.
A patient is exhibiting signs and symptoms of anxiety. What should be the first step in establishing
communication with him or her?
1 Providing good personal hygiene
2 Letting the patient make as many choices as possible
3 Being nonjudgmental and accepting of feelings
4 Exhibiting appropriate nonverbal behaviors and active listening skills - ANSWER- 4
Rationale: Patients with anxiety need assistance in clarifying factors that cause the anxiety and
coping more effectively. Active listening helps to identify the source of the anxiety. Meeting basic
needs and being nonjudgmental and accepting of feelings is important but not your first step.
Ultimately once a cause for anxiety is known, you can help the patient by letting him or her make
as many choices about care as possible
A nurse is working with an older adult with a cognitive impairment who is having a tantrum and
acting hostile toward other patients in the dayroom. Which approach by the nurse is most
appropriate to handle this situation?
1 Asking three other staff members to help put the patient back to bed
2 Using the patient's favorite crackers to distract him from the other patients
3 Explaining to the patient how he will benefit by behaving better
, 4 Asking the family how they managed the tantrums while the patient was still living at home -
ANSWER- 2 Rationale: Distraction is often effective for this type of patient. Strategies that
may have worked before may not be as effective now. There is no time to call the family when the
patient is already hostile. A show of force could make the patient agitated.
A patient recovering from a recent amputation of his foot because of diabetes has been very
withdrawn and not sleeping or eating well. Which initial nursing intervention would be most
effective to help him with his depression?
1 Suggesting the use of antidepressant medication to his health care provider
2 Spending time with the patient and telling him how lucky he is that he was able to keep most of
his leg
3 Talking with physical therapy about how soon he can be fitted for a prosthesis
4 Encouraging the patient to talk about his feelings while allowing angry outbursts - ANSWER-
4 Rationale: Even though being positive about the situation is a strategy, this patient is grieving
for the loss of his extremity and is depressed. Antidepressant medications are not given initially.
The patient needs the opportunity to express feelings, especially anger, which is normal behavior.
The health care provider, not the physical therapist, would be consulted about when he would be
evaluated for a prosthesis.
The nurse is preparing to provide patient education. Which question is most appropriate for the
nurse to ask?
1 Are you ready to learn now?
2 Can you use a computer?
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