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THERAPEUTIC COMMUNICATION

Total questions: 5

Worksheet time: 9mins

Name
Class
Date
1.

1. An adolescent client is brought to the emergency department by the parents after being found making superficial cuts along the side of an arm with a razor blade. There are several minor cuts in various stages of healing on the client's forearms. Which statements are appropriate for the nurse to make to the client's parents? Select all that apply.

a)

1. "Everything is going to be all right."

b)

2. "Tell me about when you started noticing this behavior."

c)

3. "We have the bleeding under control."

d)

4. "Why didn't you bring your child in sooner?"

e)

5. "You must be very upset after seeing this."

2.

2. A client with a history of major depressive disorder with psychotic features was rescued before jumping off a dam.  The client is pacing, picking at the arms, and repeatedly mumbling, "I have to die.  You cannot stop me."  When the health care provider recommends electroconvulsive therapy (ECT) as the initial treatment, the client's spouse says to the nurse, "I can't allow such a cruel treatment.  Why can't they just give my spouse medication?"  Which is the best response by the nurse?

a)

1. "ECT is safe and your spouse will not feel anything."

b)

2. "It could take up to 3 weeks for medication to become effective."

c)

3. "Your spouse could die by not receiving this treatment."

d)

4. "Your spouse is very ill and ECT might be the best treatment at this time.  What are your concerns about ECT?"

3.

3. The nurse caring for a client who had a femoral angioplasty finds the client's leg pale, cool, and pulseless. The nurse calls the health care provider (HCP) at 2 AM, and the HCP begins to yell at the nurse, stating, "I'm sick and tired of you calling me in the middle of the night!" What is the best response by the nurse?

a)

1. "I am concerned that this client may lose a leg unless something is done immediately."

b)

2. "I am required to report all postoperative complications to the provider on call."

c)

3. "It is my job to report critical findings, just like it is your job to come see my client right now."

d)

4. "Yelling is unprofessional. I will need to file a report with my supervisor once the client is stable."

4.

5. An elderly client with dementia frequently exhibits sundowning behavior while living in a community-based residential facility.  When the nurse finds the client wandering at night, which of the following statements is most appropriate?

a)

1. "Don't you know it's not morning yet?"

b)

2. "It's time to get back to bed now."

c)

3. "You might fall if you wander in the dark."

d)

4. "You should not leave your room without assistance."

5.

4. An elderly client at the end of life is visited by family members.  One begins to cry and asks the nurse, "Will you please stay for a few minutes?"  The nurse has other clients to care for as well.  Which statement by the nurse is the most helpful?

a)

1. "I am busy right now but can stay for a few minutes."

b)

2. "I can call the clergy to come sit with you."

c)

3. "I can stay and sit with you if you would like."

d)

4. "I don't think I should interrupt your family time."