ATI LPN
Psychiatric Nursing: Contemporary Practice 6th Edition
Chapter 9 : Communication and the Therapeutic Relationship Questions
Question 1 of 5
When engaged in a nontherapeutic relationship, which of the following would the nurse identify as occurring first?
Correct Answer: A
Rationale: A nontherapeutic relationship begins with the nurse?s failure to recognize the patient?s individual needs, undermining trust and rapport. This precedes patient avoidance, perceptions of rudeness, or feelings of hopelessness, which are outcomes of the initial failure.
Question 2 of 5
While providing care to a patient with a mental disorder, the patient asks the nurse, 'Does mental illness run in your family?' Which response by the nurse would be most inappropriate?
Correct Answer: C
Rationale: Self-disclosure, especially personal details like a family member?s mental illness, is inappropriate in therapeutic communication unless it directly benefits the patient. Option C risks shifting focus to the nurse. Other responses redirect to the patient?s concerns or provide general information, maintaining therapeutic focus.
Question 3 of 5
A nursing instructor is describing the nurse-patient relationship to a group of nursing students. Which of the following would the instructor emphasize as crucial for establishing and maintaining the relationship?
Correct Answer: A
Rationale: Rapport, a trusting and harmonious connection, is crucial for establishing and maintaining the nurse-patient relationship, fostering open communication. Empathy and self-awareness support rapport, but rapport is the foundation. Values guide practice but are less directly tied to the relationship.
Question 4 of 5
A group of students are reviewing the process of verbal communication. The students demonstrate understanding of the information when they identify which of the following as the first component of the process?
Correct Answer: A
Rationale: Verbal communication begins with formulating an idea, which is then encoded, transmitted, and received. Formulation is the initial step where the speaker conceptualizes the message.
Question 5 of 5
A nurse responds to a patient?s statement with silence based on the rationale that this technique is used primarily to do which of the following?
Correct Answer: B
Rationale: Silence in therapeutic communication allows the patient to gather thoughts, process emotions, or continue speaking, promoting deeper exploration. It?s not primarily for the nurse?s response planning, self-reflection, or passive listening, which is nontherapeutic.