Author Question: During an individual session with a client, the nurse states, You say you are upset about the number ... (Read 58 times)

sjones · **on:** Jul 19, 2018

During an individual session with a client, the nurse states, You say you are upset about the number of fights your son has been involved in, but you smile as you say so and you brag about your son being known as a tough guy.

Which therapeutic communication technique is the nurse using? a. confrontation c. reflection
b. informing d. focusing

Question 2

A patient has contracted to be allowed to walk about outside after meals with staff supervision. When the patient begins to make a habit of asking if it's time to go outside well before meals, the nurse should:

a. provide the patient with a paper of hourly times to be clocked by the patient and initialed by the staff to indicate when it's time to go outside.
b. firmly state to the patient, 15 minutes after you're done eating, someone will come to find you so the two of you can go outside..
c. say, with empathy, to the patient, It is very difficult to wait patiently for something you really want like going outside..
d. instruct the patient to stand at the door of the unit after eating each meal.

honnalora · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

A
The nurse is using confrontation. Confrontation is communication that points out inconsistencies between feelings, thoughts, and actions. Used correctly, confrontation encourages the client to explore maladaptive behavior. To use confrontation as a therapeutic tool, the nurse must use a friendly but firm approach and recognize that a client may deny or become angry with the suggestion that something in his or her life is inconsistent.

Answer to Question 2

A
Steps to support patients to be more independent need to be carefully weighed with regard for safety, readiness, and capacity for inner control. By checking the time the outside break is due and allowing the patient to clock the time rather than totally removing independence, the nurse is improving the patient's orientation and socialization skills and reducing the amount of dependence and potentially intrusive behavior by the patient.