Exam (elaborations)

Nurs 387/388 Midterm varcarolis questions Answered & Graded 2024/25

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Communication and the clinical interview chapter question: you have been working closely with a p/t for the past month. Today, he tells you he is looking forward to meeting with his new psychiatrist, but he frowns and avoids eye contact while reporting this to you. which of the following response...

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Uploaded on October 16, 2024
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Written in 2024/2025
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communication and the clinical interview chapter q

Institution Varcarolis
Course Varcarolis

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Nurs 387/388 Midterm varcarolis questions Answered
& Graded 2024/25
Communication and the clinical interview chapter question:

you have been working closely with a p/t for the past month. Today, he tells you he is looking forward to
meeting with his new psychiatrist, but he frowns and avoids eye contact while reporting this to you.
which of the following responses would most likely be therapeutic?

A) "a new psychiatrist is a chance to start fresh. I'm sure it will go well for you"

B) "You say you look forward to the meeting, but you appear anxious or unhappy"

C) " I notice that you frowned and avoided eye contact just now - don't you feel well?"

D) " I get the impression you don't really want to see your psychiatrist - can you tell me why? - Correct
Answer b. Making observations such as the fact that the patient states he is looking forward to the
meeting, while also pointing out the discrepancy ("but you appear anxious"), raises the patient's
awareness of the hidden aspects of his or her communication and brings feelings to the surface, a
helpful result for the therapeutic process. The nurse has communicated the observation in an open
question that is nonthreatening, which is also highly therapeutic.

Communication and the clinical interview chapter question:

Which Statement about nonverbal behavior is accurate?

A) a calm expression means that the patient is experiencing low levels of anxiety

B) patients respond more consistently to therapeutic touch than to verbal interventions

C) the meaning of nonverbal behaviors varies with cultural and individual differences

D) Eye contact is a reliable measure of the patients degree of attentiveness and engagement - Correct
Answer c. Cultural and individual differences often dictate the meanings of nonverbal messages, so
therapeutic communication requires that these messages and cues be carefully checked and understood.

Communication and the clinical interview chapter question:

A nurse stops in to interview a patient on a medical unit and finds the patient lying supine in her bed
with the head elevated at ten degrees. Which initial response would most enhance the chances of
achieving a therapeutic interaction?

, A) apologize for the differential in height and proceed while standing to avoid delay

B)If permitted, raise the head of the bed and, with the patients permission, sit on the bed

C) if permitted, raise the head of the bed to approx. the nurse's height while standing

D) Sit in whatever chair is available in the room to convey information and increase comfort - Correct
Answer c.Seeking permission for interventions (such as raising the elevation of the head of the bed)
promotes therapeutic communication, and creating an even level for the nurse and patient to interact
promotes more open communication and supports the sense of a shared power within the interaction.

Communication and the clinical interview chapter question:

Which behavior is consistent with therapeutic communication?

A) offering your opinion when asked in order to convey support

B) summarizing the essence of the p/ts comments in your own words

C) interrupting periods of silence before they become awkward for the patient

D) telling the patient that they did well when you approve of their actiosn - Correct Answer b.
Summarizing a patient's comments reflects his or her words back to aid in reflection and also allows any
miscommunication to be clarified promptly, which is consistent with therapeutic communication.

Communication and the clinical interview chapter question:

A patient with schizophrenia approaches staff arriving for day shift and anxiously reports, "Last night,
demons came to my room and tried to rape me." Which response would be most therapeutic?

A) there are no such things as demons;what you saw were hallucinations."

B) "that must have been very frightening, but we'll check on you at night, and you'll be safe"

C) "It is not possible for anyone to enter your room at night; you are safe here"

D) "You seem very upset; please tell me more about what you experienced last night" - Correct Answer
d. Providing an observation ("You seem very upset") allows the patient to confirm or clarify your
observation, and inviting the patient to elaborate encourages expression of feelings, experiences and
contexts, which is a therapeutic communication practice.

Mental Health and Mental Illness Chapter question:

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