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Nurs 387_388 Midterm varcarolis questions.
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Nurs 387/388 Midterm varcarolis questionsCommunication 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? - ANS-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 - ANS-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 - ANS-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 - ANS-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" -
ANS-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:
Resilience, the capacity to rebound from stressors via adaptive coping, is associated
with positive mental health. Your friend has just been laid off from his job. Which of the
following responses on your part would most likely contribute to his enhanced
resilience?
a. Using your connections to set up an interview with your employer
b. Connecting him with a friend of the family who owns his own business
c. Supporting him in arranging, preparing for, and completing multiple interviews
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