In using communication skills with clients, the nurse evaluates which response as being the most therapeutic?
1. "Why don't you stick to the special diet?"
2. "I noticed that you didn't eat lunch. Is something wrong?"
3. "I think you need to find another physician that's better than this one."
4. "We can't continue talking about your problems; it's time for your bath."
ANS: 2
The nurse who is sharing an observation, "I noticed that you didn't eat lunch. Is something wrong?" is using the most therapeutic response. Sharing observations often helps the client com-municate without the need for extensive questioning, focusing, or clarification. "Why don't you stick to the special diet?" is an example of a nontherapeutic response. It is asking for an explana-tion. "Why" questions can cause resentment, insecurity, and mistrust. "I think you need to find another physician that's better than this one." is not a therapeutic response. It is giving a personal opinion. Changing the subject, "We can't continue talking about your problems; it's time for your bath," is not therapeutic.
You might also like to view...
A nurse should recognize the relevance of which of these factors when antihypertensive medication is prescribed for an African American client?
a. A higher dose must be given to produce the same effect as in European Americans. b. The drug may need to be administered more frequently due to increased metabolism. c. Lukewarm tap water is preferred when taking medications. d. The drug may be refused because of belief that God will heal through prayer and faith.
A patient with a history of chronic constipation has been scheduled for a lower gastrointestinal tract study (barium enema)
The patient has presented to the outpatient clinic at the scheduled time and has expressed anxiety about the potential pain and unpleasantness of the barium enema to the nurse. How should the nurse who will assist with the procedure respond to this patient's concerns? A) "A barium enema can be uncomfortable but we'll do it very carefully to minimize this." B) "A barium enema can be painful, but it does not last long, and we'll give you painkillers ahead of time." C) "Actually, most patients report that they hardly even feel the procedure." D) "The sedatives that we'll give you will make sure that you don't remember the procedure."
Quality management requires that healthcare services be well planned and delivered in a manner that ensures good care. Adequate staff and support services, such as nursing care, must be available
Quality control and quality assurance frequently look at the process and outcome of care. Based on this information, what is meant by the process of care? A) Relates to the outcome of care B) Relates to how care is provided C) Relates to the result of care D) Relates to outcome-based care
When teaching a client with breast cancer about the prescribed radiation therapy for treatment, what information is important to include?
A. permanent pigment changes to the breast may result B. there is a possibility of long bone pain C. dry, itchy, skin changes may occur D. a low-residue diet may be ordered to reduce the likelihood of diarrhea