Davis advantage for psychiatric mental
health nursing chapter 7
1. A client who is angry with his psychiatrist says to the nurse, "He doesn't know
what he is doing. That medication isn't helping a thing!" The nurse responds, "He
has been a doctor for many years and has helped many people." This is an
example of what non therapeutic technique?
a. Rejecting
b. Disapproving
c. Probing
d. Defending - ANS - D
\1. Which therapeutic communication technique is being used in this nurse-client
interaction?
Client: "When I get angry, I get into a fistfight with my partner or I take it out on
the
kids."
Nurse: "I notice that you are smiling as you talk about this physical violence."
1. Encouraging comparison
2. Exploring
3. Formulating a plan of action
4. Making observations - ANS - 4. This is correct. The nurse is using the
therapeutic communication technique of
making observations by noting that the client smiles when talking about physical
violence. The technique of making observations encourages the client to
compare
personal perceptions with those of the nurse.
\10. A client, who has been in the hospital for 3 weeks, has used Valium "to settle
her nerves" for the past 15 years. She was admitted by her psychiatrist for safe
withdrawal from the drug. She has passed the physical symptoms of withdrawal
at this time but states to the nurse, "I don't know if I will be able to make it without
Valium after I go home. I'm already starting to feel nervous. I have so many
personal problems." Which is the most appropriate response by the nurse?
a. "Why do you think you need drugs to deal with your problems?"
b. "Everybody has problems, but not everybody uses drugs to deal with them.
You'll just have to do the best that you can."
c. "Let's explore some things you can do to decrease your anxiety without
resorting to drugs."
, d. "Just hang in there. I'm sure everything is going to be okay." - ANS - C
\10. 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?
1. Giving approval
2. Interpreting
3. Presenting reality
4. Making observations - ANS - 1. This is correct. The group leader has employed
the nontherapeutic technique of
giving approval. Giving approval implies that the nurse has the right to pass
judgment on whether the client's ideas or behaviors are "good" or "bad." This
creates a conditional acceptance of the client.
\11. A client asks the nurse, "Do you think I should tell my husband about my
affair with my boss?" Which is the most appropriate response by the nurse?
a. "What do you think would be best for you to do?"
b. "Of course you should. Marriage has to be based on truth."
c. "Of course not. That would only make things worse."
d. "I can't tell you what to do. You have to decide for yourself." - ANS - A
\11. What is the purpose of a nurse providing appropriate feedback?
1. To provide the client with good advice
2. To advise the client on appropriate behaviors
3. To evaluate the client's behavior
4. To give the client critical information - ANS - 4. This is correct. The purpose of
providing appropriate feedback is to give the client
critical information. Feedback should not be used to give advice or evaluate
behaviors.
\12. An adolescent who has just returned from group therapy is crying. She says
to the nurse, "All the other kids laughed at me! I try to fit in, but I always seem to
say the wrong thing. I've never had a close friend. I guess I never will." Which is
the most appropriate response by the nurse?
a. "What makes you think you will never have any friends?"
b. "You're feeling pretty down on yourself right now."
c. "I'm sure they didn't mean to hurt your feelings."
d. "Why do you feel this way about yourself?" - ANS - B
\12. The nurse is providing therapeutic feedback to a client who exhibited an
angry
outburst in a group setting. Which is appropriate for the nurse to say to the
client?
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