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In-Depth Review: Covers psychiatric nursing topics like therapeutic communication and mental health disorders.
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60 Practice Questions: Includes detailed rationales for better understanding.
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2025 Standards: Updated to meet the latest exam requirements.
Enhance your mental health nursing skills and pass with confidence using this guide from ExamsHut.com!
Preview
The patient says, “My marriage is just great. My spouse and I always agree.” The nurse
observes the patient’s foot moving continuously as the patient twirls a shirt button. The
conclusion the nurse can draw is that the patient’s communication is:
a. clear.
b. mixed.
c. precise.
d. inadequate. – – correct ans- -ANS: B
Mixed messages involve the transmission of conflicting or incongruent messages by the
speaker. The patient’s verbal message that all was well in the relationship was modified by
the nonverbal behaviors denoting anxiety. Data are not present to support the choice of the
verbal message being clear, explicit, or inadequate.
A nurse interacts with a newly hospitalized patient. Select the nurse’s comment that
applies the communication technique of “offering self.”
a. “I’ve also had traumatic life experiences. Maybe it would help if I told you about them.”
b. “Why do you think you had so much difficulty adjusting to this change in your life?”
c. “I hope you will feel better after getting accustomed to how this unit operates.”
d. “I’d like to sit with you for a while to help you get comfortable talking to me.” – – correct
ans- -ANS: D
“Offering self” is a technique that should be used in the orientation phase of the nurse
patient relationship. Sitting with the patient, an example of “offering self,” helps to build
trust and convey that the nurse cares about the patient. Two incorrect responses are
ineffective and non-therapeutic. The other incorrect response is therapeutic but is an
example of “offering hope.”
Which technique will best communicate to a patient that the nurse is interested in
listening?
a. Restating a feeling or thought the patient has expressed.
b. Asking a direct question, such as “Did you feel angry?”
c. Making a judgment about the patient’s problem.
d. Saying, “I understand what you’re saying.” – – correct ans- -ANS: A
Restating allows the patient to validate the nurse’s understanding of what has been
communicated. Restating is an active listening technique. Judgments should be
suspended in a nurse-patient relationship. Close-ended questions such as “Did you feel
angry?” ask for specific information rather than showing understanding. When the nurse
simply states that he or she understands the patient’s words, the patient has no way of
measuring the understanding.
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