ATI RN Mental Custom Health Next Gen -Nurselytic

Correct Answer: B

Rationale: The correct answer is B: Summarizing the essence of the patient's comments in your own words. This behavior is consistent with therapeutic communication as it shows active listening and understanding of the patient's feelings and thoughts. By summarizing, the healthcare provider demonstrates empathy and helps clarify any misunderstandings.

A: Offering your opinion when asked to convey support may not always align with therapeutic communication, as it can shift the focus from the patient to the provider's perspective.

C: Interrupting periods of silence before they become awkward for the patient can disrupt the patient's thought process and hinder open communication.

D: Telling the patient he did well when you approve of his statements or actions may come across as judgmental and can limit the patient's ability to express themselves fully.

Correct Answer: C

Rationale: The correct answer is C because it demonstrates empathy and active listening. By acknowledging James's feelings and inviting him to share more about his experience, the response validates his emotions and fosters trust. This approach helps build a therapeutic relationship and allows for a deeper exploration of his hallucinations. Options A and B invalidate James's experience and may increase his distress. Option D offers reassurance but lacks the immediate emotional support James needs.

Correct Answer: D

Rationale: As a tutor, the correct answer is D. Asking 'why' questions is not considered a therapeutic communication technique as it can come off as confrontational or judgmental, potentially making the patient feel defensive or pressured to justify their feelings. Therapeutic communication aims to create a safe and supportive environment for patients to express themselves openly without feeling judged. Restating, encouraging description of perceptions, and summarizing are all therapeutic techniques that help patients feel heard and understood, fostering trust and empathy in the patient-provider relationship.

Correct Answer: A

Rationale: Rationale for
Choice A: Carolina should respond positively to the patient's enthusiasm about the therapy app to maintain rapport. By asking the patient to show the app, Carolina displays genuine interest and open-mindedness, fostering a collaborative discussion. This approach allows Carolina to understand the patient's perspective and potentially integrate the app into the therapy if suitable. It also shows respect for the patient's autonomy in seeking alternative support.

Summary of other choices:
B: This response is dismissive and does not acknowledge the patient's preferences, potentially damaging the therapeutic relationship.
C: This response may come off as controlling or resistant, risking alienating the patient and hindering progress.
D: This response is confrontational and may make the patient defensive, leading to communication breakdown rather than exploration of alternatives.

Correct Answer: A

Rationale: The correct answer is A because it clearly communicates the behavior that is unacceptable (hitting when angry) and sets a clear boundary. It addresses the specific behavior and its consequences without being vague or ambiguous.
Choice B lacks specificity, choice C is a command without explaining the reason for the request, and choice D uses shaming language which is not effective in setting limits.

Choices E, F, and G are irrelevant as they are not provided. Overall, choice A demonstrates a well-structured attempt at limit setting by being clear, specific, and focusing on the behavior that needs to change.