Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
Barriers to therapeutic communication include probing, giving advice and
A. Providing false reassurance
providing false reassurances invalidates the client’s feelings and concerns thus making them feel that the nurse is not trustworthy or empathetic. This may hinder the development of a therapeutic relationship.
B. Use of open-ended questions
the use of open-ended questions is appropriate since it allows the client to freely express their thoughts and feelings without being limited by the yes or no answers.
C. Active listening
active listening involves paying attention to the client’s verbal and non-verbal cues and clarifying any possible misunderstandings.
D. Silence
silence is crucial since it enables the client to reflect on their thoughts and to process their emotions. Furthermore, it is a form of respect for the client’s feelings.
This question is an excerpt from Nurse Dive's nursing test bank - ATI ns 130 Exam Psychosocial Proctored Exam. Take the full exam now
Full Explanation
Choice A rationale: providing false reassurances invalidates the client’s feelings and concerns thus making them feel that the nurse is not trustworthy or empathetic. This may hinder the development of a therapeutic relationship.
Choice B rationale: the use of open-ended questions is appropriate since it allows the client to freely express their thoughts and feelings without being limited by the yes or no answers.
Choice C rationale: active listening involves paying attention to the client’s verbal and non-verbal cues and clarifying any possible misunderstandings.
Choice D rationale: silence is crucial since it enables the client to reflect on their thoughts and to process their emotions. Furthermore, it is a form of respect for the client’s feelings.
Similar Questions
The basic goals of a therapeutic environment include all of the following except:
A. Transition clients out of the facility as quickly as possible
transitioning clients out of the facility as quickly as possible is not a goal of a therapeutic environment but instead the therapeutic environment focuses on providing maximum support and an appropriate level of care to clients until they are ready to transition to a less restrictive setup.
B. Protect the client and others during periods of maladaptive behavior.
this is essential for client safety and the safety of individuals surrounding them while promoting effective crisis management.
C. Help individuals develop self-worth and confidence.
this is appropriate since it enhances the client’s self-worth and confidence which is crucial in boosting their self-esteem and motivation.
D. Teach more effective adaptive skills.
this is correct since effective adaptive skills enable clients to cope with their challenges and improve their functioning.
Full Explanation
Choice A rationale: transitioning clients out of the facility as quickly as possible is not a goal of a therapeutic environment but instead the therapeutic environment focuses on providing maximum support and an appropriate level of care to clients until they are ready to transition to a less restrictive setup.
Choice B rationale: this is essential for client safety and the safety of individuals surrounding them while promoting effective crisis management.
Choice C rationale: this is appropriate since it enhances the client’s self-worth and confidence which is crucial in boosting their self-esteem and motivation.
Choice D rationale: this is correct since effective adaptive skills enable clients to cope with their challenges and improve their functioning.
The nurse is administering medications to a client with a diagnosis of a mental illness with a mood disorder. The nurse would expect to see which medications were ordered for this client. (Select all that apply)
A. Risperdal (Risperidone)
Risperdal is an antipsychotic that can help reduce psychotic symptoms such as delusions and hallucinations, as well as stabilize mood swings.
B. Lithium (Eskalith)
Lithium is a mood stabilizer that can prevent manic episodes and reduce the risk of suicide.
C. Ativan (Lorazepam)
Ativan is a benzodiazepine that can relieve anxiety and panic attacks.
D. Benadryl (Diphenhydramine)
Benadryl is an antihistamine that can cause drowsiness and sedation, but has no effect on mood.
E. Depakote (Valproic Acid)
Depakote is a mood stabilizer that can also treat seizures and migraines.
Full Explanation
Choice A rationale: Risperdal is an antipsychotic that can help reduce psychotic symptoms such as delusions and hallucinations, as well as stabilize mood swings.
Choice B rationale: Lithium is a mood stabilizer that can prevent manic episodes and reduce the risk of suicide.
Choice C rationale: Ativan is a benzodiazepine that can relieve anxiety and panic attacks.
Choice D rationale: Benadryl is an antihistamine that can cause drowsiness and sedation, but has no effect on mood.
Choice E rationale: Depakote is a mood stabilizer that can also treat seizures and migraines.
Regarding the environment, it is important for the nurse to be aware of lighting for some clients. Clients with a diagnosis of schizophrenia may be bothered by lights that are flickering because this may trigger.
A. Increased sensitivity to light
Increased sensitivity to light is a possible side effect of some antipsychotic medications, but it is not necessarily caused by flickering lights.
B. Aggression
aggression is a symptom of schizophrenia but is not directly triggered by flickering lights.
C. Overstimulation
over-stimulation is not caused by flickering lights but can instead be caused by excessive sensory input.
D. Hallucinations
Flickering lights may trigger or worsen these hallucinations by creating sensory illusions or distortions, for instance, a client may see shadows, shapes, or colors that are not there.
Full Explanation
Choice A rationale: Increased sensitivity to light is a possible side effect of some antipsychotic medications, but it is not necessarily caused by flickering lights.
Choice B rationale: aggression is a symptom of schizophrenia but is not directly triggered by flickering lights.
Choice C rationale: over-stimulation is not caused by flickering lights but can instead be caused by excessive sensory input.
Choice D rationale: Flickering lights may trigger or worsen these hallucinations by creating sensory illusions or distortions, for instance, a client may see shadows, shapes, or colors that are not there.