Author Question: A chronic psychotic client tells the nurse she cannot participate in group therapy because her head ... (Read 19 times)

debasdf

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A chronic psychotic client tells the nurse she cannot participate in group therapy because her head is empty. Which of the following responses should the nurse plan to use with this client?
 
  1. If your head is empty, how can you walk and talk?
  2.  Don't talk nonsense. No one has an empty head.
  3. You're feeling as though you are not able to think?
  4. Let's not focus on that right now.

Question 2

Which of the following would be analyzed as therapeutic communication on the part of the nurse?
 
  1. Things will get better; you will see.
  2. I'm sorry. What did you say?
  3. That's nothing compared to other client's problems.
  4. That's a difficult problem for you.



sarahccccc

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Answer to Question 1

ANS: 3
This response helps the client identify feelings and provides an opportunity for the client to con-tinue verbalizing. Option 1 is challenging. Option 2 is belittling and attempts to refute a delusion. Option 4 changes the topic and blocks further communication on the topic of the client's choice.

Answer to Question 2

ANS: 4
This communicates to the client that the nurse understands how difficult his problem is for him. Option 1 communicates false reassurance. Option 2 communicates that the nurse was not paying attention to what the client said. Option 3 minimizes the client's problems.



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