Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
In communicating with the psychiatric patient, which nurse responses could obstruct effective communication with a client? (Select all that apply)
A. Tell me more about what you are feeling.
This response encourages the patient to express their feelings and promotes open communication. It is a therapeutic communication technique.
B. It must be difficult for you to feel that way.
This response shows empathy and validates the patient’s feelings. It is a therapeutic communication technique.
C. You should talk to your husband and not keep things inside.
This response could obstruct effective communication as it tells the patient what they should do. It does not encourage the patient to express their feelings or promote open communication.
D. Everything will turn out fine.
This response could obstruct effective communication as it offers false reassurance. It does not acknowledge the patient’s feelings or concerns.
This question is an excerpt from Nurse Dive's nursing test bank - Lpn Ati Mental Health Psychosocial Proctored Exam. Take the full exam now
Full Explanation
Choice A rationale
This response encourages the patient to express their feelings and promotes open communication. It is a therapeutic communication technique.
Choice B rationale
This response shows empathy and validates the patient’s feelings. It is a therapeutic communication technique.
Choice C rationale
This response could obstruct effective communication as it tells the patient what they should do. It does not encourage the patient to express their feelings or promote open communication.
Choice D rationale
This response could obstruct effective communication as it offers false reassurance. It does not acknowledge the patient’s feelings or concerns.
Similar Questions
Haldol 2mg IM stat has been ordered for the agitated client. Haldol is available in 5mg/ml. How many ml’s will you administer?
A. 0.2 ml.
B. 0.4 ml.
Step 1 is to determine the amount of medication to administer. The order is for Haldol 2mg IM stat. The available medication is Haldol 5mg/ml. To find out how many ml’s to administer, you would divide the ordered dose by the available dose. So, 2mg ÷ 5mg/ml = 0.4 ml.
C. 0.6 ml.
D. 0.8 ml.
Full Explanation
Step 1 is to determine the amount of medication to administer. The order is for Haldol 2mg IM stat. The available medication is Haldol 5mg/ml. To find out how many ml’s to administer, you would divide the ordered dose by the available dose. So, 2mg ÷ 5mg/ml = 0.4 ml.
A client reports to the nurse that her elderly mother has become increasingly angry and responds inappropriately to conversations within the past few months.
She notes that her mother does not respond when the mother’s back is turned. What is the best intervention for the nurse?
A. Teach the client techniques for coping with the mother’s anger.
While teaching the client techniques for coping with the mother’s anger might be helpful, it does not address the root cause of the problem. The mother’s anger and inappropriate responses could be due to frustration from not being able to hear properly.
B. Ask if the mother could come in for a hearing evaluation.
The mother’s behavior of not responding when her back is turned and becoming increasingly angry could be signs of hearing loss. A hearing evaluation would help determine if this is the case and appropriate interventions can be put in place.
C. Tell the client it appears the mother has a hearing loss.
Telling the client that it appears the mother has a hearing loss is not the best intervention because it is based on assumption without any professional evaluation. It is important to have a professional evaluation before making such conclusions.
D. Inform the client to ignore the behavior and treat the mother with love.
Informing the client to ignore the behavior and treat the mother with love does not address the potential issue of hearing loss. Ignoring the problem does not solve it and could lead to further frustration and misunderstanding.
Full Explanation
Choice A rationale
While teaching the client techniques for coping with the mother’s anger might be helpful, it does not address the root cause of the problem. The mother’s anger and inappropriate responses could be due to frustration from not being able to hear properly.
Choice B rationale
The mother’s behavior of not responding when her back is turned and becoming increasingly angry could be signs of hearing loss. A hearing evaluation would help determine if this is the case and appropriate interventions can be put in place.
Choice C rationale
Telling the client that it appears the mother has a hearing loss is not the best intervention because it is based on assumption without any professional evaluation. It is important to have a professional evaluation before making such conclusions.
Choice D rationale
Informing the client to ignore the behavior and treat the mother with love does not address the potential issue of hearing loss. Ignoring the problem does not solve it and could lead to further frustration and misunderstanding.
Upon entrance into a mental health care system, clients are thoroughly assessed, and this is followed by the development of a mental health treatment plan assessment.
Which of the following are purposes of the treatment plan? (Select all that apply)
A. An instrument for communication and coordination of care.
A treatment plan serves as an instrument for communication and coordination of care among the healthcare team. It ensures that all members of the team are on the same page regarding the client’s care.
B. Evaluating the effectiveness of interventions.
The treatment plan helps in evaluating the effectiveness of interventions. By comparing the client’s progress to the goals set in the treatment plan, the healthcare team can determine whether the interventions are working or if they need to be adjusted.
C. A guide for planning and implementation of care.
The treatment plan guides the planning and implementation of care. It outlines the steps that need to be taken to help the client achieve their health goals.
D. Ensure that the client follows their treatment.
Ensuring that the client follows their treatment is not a purpose of the treatment plan. While the treatment plan can guide the client’s treatment, it is ultimately up to the client to adhere to the treatment.
E. A means of monitoring the client’s progress.
The treatment plan serves as a means of monitoring the client’s progress. Regular reviews of the treatment plan can show whether the client is making progress towards their health goals.
Full Explanation
Choice A rationale
A treatment plan serves as an instrument for communication and coordination of care among the healthcare team. It ensures that all members of the team are on the same page regarding the client’s care.
Choice B rationale
The treatment plan helps in evaluating the effectiveness of interventions. By comparing the client’s progress to the goals set in the treatment plan, the healthcare team can determine whether the interventions are working or if they need to be adjusted.
Choice C rationale
The treatment plan guides the planning and implementation of care. It outlines the steps that need to be taken to help the client achieve their health goals.
Choice D rationale
Ensuring that the client follows their treatment is not a purpose of the treatment plan. While the treatment plan can guide the client’s treatment, it is ultimately up to the client to adhere to the treatment.
Choice E rationale
The treatment plan serves as a means of monitoring the client’s progress. Regular reviews of the treatment plan can show whether the client is making progress towards their health goals.