The nurse is interviewing a newly admitted psychiatric client. Which nursing statement is an example of offering a general lead?

Correct Answer: C

Rationale: Offering a general lead is a therapeutic communication technique used by nurses to encourage clients to continue expressing themselves. "Yes, I see. Go on." is an example of a general lead because it acknowledges the client's communication and prompts them to share more without imposing any judgment or bias in the response. This technique helps build rapport and trust between the nurse and the client, facilitating a more open and honest dialogue. In contrast, options A, B, and D are not examples of general leads as they are more direct or closed-ended questions that may limit the client's opportunity to freely express themselves.

Correct Answer: C

Rationale: When interviewing a client, a nurse should demonstrate active listening and engagement through nonverbal behaviors. Sitting squarely and facing the client directly conveys attentiveness and openness to communication. It shows respect and interest in what the client has to say. This posture encourages a sense of connection and trust between the nurse and the client. Maintaining direct eye contact and an open posture without crossing arms and legs further enhances the communication process, fostering a more positive interaction and relationship.

Correct Answer: C

Rationale: In this scenario, the nurse is making a stereotyped comment by implying that the client's younger daughter's behavior is simply a part of learning about life. This response dismisses the client's concerns and reduces the daughter's actions to a common stereotype, which is not helpful in addressing the issue at hand. It can be perceived as invalidating the client's feelings and concerns, potentially hindering effective communication and support.

Correct Answer: A

Rationale: The statement "Touch carries a different meaning for different individuals" best provides information about the appropriate use of touch when communicating with clients diagnosed with psychiatric disorders. This is because people can have varied cultural backgrounds, personal experiences, and comfort levels regarding touch. Therefore, understanding that the interpretation of touch may vary is essential for the student nurse to provide client-centered care. By recognizing this diversity, the nurse can ensure that touch is used in a respectful and appropriate manner in accordance with each client's preferences and needs.

Correct Answer: D

Rationale: Option D, "Are you not understanding the explanation I provided?" is an example of the nontherapeutic communication block of requesting an explanation. This response can be seen as confrontational and can make the patient feel defensive or inadequate. It does not facilitate open communication or promote a therapeutic relationship. Instead, the nurse should focus on clarifying the information provided and ensure understanding without putting the patient on the spot or making assumptions about their comprehension.