A client diagnosed with post-traumatic stress disorder related to ...

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A client diagnosed with post-traumatic stress disorder related to a rape is admitted to an inpatient psychiatric unit for evaluation and medication stabilization.
 
  Which therapeutic communication technique might a nurse use that is an example of broad openings? 1. What occurred prior to the rape, and when did you go to the emergency department?
  2. What would you like to talk about?
  3. I notice you seem uncomfortable discussing this.
  4. How can we help you feel safe during your stay here?

Question 2

An inpatient client is newly diagnosed with dissociative identity disorder (DID) stemming from severe childhood sexual abuse. Which nursing intervention takes priority?
 
  1. Encourage exploration of sexual abuse.
  2. Encourage guided imagery.
  3. Establish trust and rapport.
  4. Administer antianxiety medications.

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Answer to Question 1

2
Rationale: The nurse's statement, What would you like to talk about? is an example of the therapeutic communication technique of a broad opening. Using broad openings allows the client to take the initiative in introducing the topic and emphasizes the importance of the client's role in the interaction.

Answer to Question 2

3
Rationale: The nurse should prioritize establishing trust and rapport when beginning to work with a client diagnosed with DID. DID was formerly called multiple personality disorder. Trust is the basis of every therapeutic relationship. Each personality views itself as a separate entity and must be treated as such to establish rapport.

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Thank you

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