Title RECALLS 4 - NP5 - SC ✅

Situation: A nurse is conducting therapeutic communication sessions with clients who are experiencing various emotional and mental health challenges. The nurse uses different communication techniques to support effective interaction and understanding. Identify the therapeutic communication technique being used in each situation. 16. A client is hesitant to talk about their feelings, stating only, "I don't know where to begin." The nurse responds, "Is there something you'd like to talk about? What would you like to begin with?" A. Consensual validation B. Encouraging comparison C. Broad openings D. Accepting 17. A client is describing a stressful event, but keeps shifting between different aspects without fully exploring any one point. The nurse says, "Of all the concerns you've mentioned, which is most troublesome?" A. Exploring B. Focusing C. Formulating a plan of action D. Giving information 18. A client expresses anger about a recent situation. The nurse asks, "What could you do to let your anger out harmlessly? Next time this comes up, what might you do to handle it?" A. Exploring B. Focusing C. Formulating a plan of action D. Giving information 19. A client shares a past experience of overcoming a similar challenge. The nurse responds, "Have you had similar experiences? Was it something like...?" A. Accepting B. Encouraging comparison C. Broad openings D. Encouraging expression 20. A client expresses a belief about a situation, and the nurse says, "Tell me whether my understanding of it agrees with yours. Are you using this word to convey that...?" A. Encouraging description of perceptions B. Encouraging expression C. Consensual validation D. Broad openings Situation: A nurse is interacting with several clients exhibiting various emotional states. The nurse needs to identify and avoid using non-therapeutic communication techniques. 21. A client expresses feeling hopeless and says, "I wish I were dead." The nurse responds, "Everybody gets down in the dumps; I've felt that way myself." A. Advising B. Agreeing C. Belittling feelings expressed D. Challenging 22. A client expresses a concern about a medication side effect. The nurse says, "Let's not discuss that." A. Probing B. Making stereotyped comments C. Reassuring D. Rejecting 23. A client says, "I should just quit my job." The nurse says, "I think you should look for a new job instead." A. Advising B. Agreeing C. Belittling feelings expressed D. Challenging 24. A client, experiencing hallucinations, states, "The hospital is trying to poison me." The nurse responds, "But how can you be sure that's true? This hospital has a fine reputation." A. Advising B. Agreeing C. Belittling feelings expressed D. Challenging 25. A client shares a belief that is inconsistent with reality. The nurse asks, "Why do you think that? Why do you feel that way?" A. Rejecting B. Reassuring C. Making stereotyped comments D. Requesting an explanation 26. A client with a history of suicide attempts becomes increasingly agitated and threatens self-harm. The nurse decides to restrain the client without obtaining a physician's order. Which intentional tort has the nurse potentially committed? A. Assault B. Battery C. False imprisonment D. Negligence 27. A client with schizophrenia experiences an acute psychotic episode and becomes verbally abusive towards staff. The nurse responds by threatening to restrain the client. What intentional tort has the nurse potentially committed? A. Battery B. False imprisonment C. Negligence D. Assault 28. A nurse forgets to administer a prescribed medication to a client. The client subsequently experiences a seizure, resulting in a head injury. Which element of negligence is most directly implicated? A. Duty B. Breach of duty C. Injury or damage D. Causation 29. A nurse administers the wrong medication to a client due to a medication error. The client experiences an adverse reaction but recovers fully. Which element of negligence is ABSENT in this scenario? A. Duty B. Breach of duty C. Injury or damage D. Causation 30. A nurse is caring for two clients: one wealthy and one impoverished. The nurse provides the same standard of care to both clients. Which ethical principle is the nurse upholding? A. Autonomy B. Beneficence C. Justice D. Fidelity Situation: A nurse is caring for a client diagnosed with Obsessive-Compulsive Disorder (OCD) who is experiencing significant distress and functional impairment. 31. The client spends hours each day arranging and rearranging items on their bedside table, believing it must be "just so." This behavior is best described as: A. An obsession B. A compulsion C. A delusion D. A hallucination 32. The client reports experiencing persistent, intrusive thoughts of contamination. These thoughts cause significant anxiety and interfere with their ability to eat meals. This behavior is best described as: A. A compulsion B. A delusion C. An obsession D. A hallucination 33. The nurse is implementing exposure and response prevention (ERP) therapy. Which nursing intervention is consistent with this approach? A. Allowing the client extra time to complete their rituals. B. Distracting the client whenever they begin a ritual. C. Gradually reducing the time the client spends performing rituals. D. Immediately stopping the client from performing any ritualistic behavior. 34. The client's family expresses frustration with the client's OCD symptoms and requests advice on how to best support 2 | Page