Which nurse responses could block effective communication with a ...

[PhilipSeeMore]

Which nurse responses could block effective communication with a client? (Select all that apply.)
 
  a. This is what I think you should say
  b. Don't stress over it. Everything will turn out fine.
  c. Why did you do that?
  d. Most people in your circumstance

Question 2

The client is unable to make a decision by herself. She clings to her husband and quickly moves to fill his requests. Although she sometimes appears angry, her emotions are not expressed. The client's diagnosis is:
 
  a. Neuroticism
  b. Paranoid personality disorder
  c. Dependent personality disorder
  d. Narcissistic personality disorder

[strudel15]

Answer to Question 1

A, B, C, D
All of these options are nontherapeutic and should be avoided. When the nurse offers what she thinks the client should say, she is giving the client advice. Telling the client not to stress is giving the client false reassurance. Asking the question Why did you do that? will make the client defensive. When the nurse says Most people in your circumstance..., she is generalizing.

Answer to Question 2

C
The anxiety of dependent personality disorder is associated with separation and abandonment. Neuroticism refers to an individual who experiences a mental imbalance that causes distress and anxiety without affecting rational thought; paranoid personality disorder is displayed by assumptions that everyone is out to harm, deceive, or exploit; and narcissistic personality disorder is grandiose feelings of self-importance.