Question 1

A patient says, 'Nobody cares about me.' Which nurse response best demonstrates the therapeutic technique of reflection?

Accepted Answer

'It sounds like you're feeling alone and uncared for.' Reflection mirrors the patient's feelings back to them to encourage further expression.

Question 2

What is the primary purpose of using open-ended questions in therapeutic communication?

Accepted Answer

Open-ended questions encourage the patient to elaborate freely, promoting self-expression and providing the nurse with more detailed assessment data.

Question 3

Which nurse statement is an example of a non-therapeutic communication block called 'false reassurance'?

Accepted Answer

'Everything will be just fine' is false reassurance because it dismisses the patient's concerns without basis and discourages further communication.

Question 4

What is the therapeutic purpose of silence during a nurse-patient interaction?

Accepted Answer

Silence allows the patient time to think, reflect, and formulate thoughts without feeling rushed, while conveying the nurse's presence and acceptance.

Question 5

What is the hallmark difference between a delusion and a hallucination in psychiatric assessment?

Accepted Answer

A delusion is a fixed false belief not supported by reality, whereas a hallucination is a false sensory perception (seeing, hearing, feeling) with no external stimulus.

Psych & Mental Health – NCLEX-RN Flashcards

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