Question 1

A patient says, 'Nobody cares if I live or die.' Which nurse response best demonstrates therapeutic communication?

Accepted Answer

The nurse should use reflection and open-ended statements, such as 'It sounds like you're feeling very alone. Tell me more about what you're experiencing.' This acknowledges the patient's feelings without dismissing or deflecting them.

Question 2

What is the primary purpose of the therapeutic use of silence in psychiatric nursing?

Accepted Answer

Silence gives the patient time and space to gather thoughts, process emotions, and continue sharing without feeling rushed or pressured by the nurse.

Question 3

Which nurse statement is an example of the nontherapeutic technique of 'giving false reassurance'?

Accepted Answer

'Everything is going to be just fine' is false reassurance because it dismisses the patient's concerns and provides an unfounded promise the nurse cannot guarantee.

Question 4

What does the nurse demonstrate when restating a patient's words in slightly different language to confirm understanding?

Accepted Answer

The nurse is using paraphrasing (restating), a therapeutic technique that shows active listening and allows the patient to clarify or expand on their message.

Question 5

A patient with schizophrenia believes the television is sending personal messages specifically to them. What term describes this symptom?

Accepted Answer

This is an idea of reference, a type of delusion in which the patient believes ordinary external events have special personal meaning directed at them.

Mental Health Nursing – NCLEX-RN Flashcards

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