Which of the following responses would the nurse evaluate as the ...

[berenicecastro]

Which of the following responses would the nurse evaluate as the most therapeutic in using communication skills with the client?
 
  a. Why don't you stick to the special diet?
  b. I noticed that you didn't eat lunch. Is something wrong?
  c. I think you need to find another physician who's better than this one.
  d. We can't continue talking about your financial problems right now. It's time for your bath.

Question 2

The nurse is establishing a helping relationship with the client. What should the nurse do when addressing the client?
 
  a. Use the client's first name.
  b. Touch the client right away to establish contact.
  c. Sit far enough away from the client.
  d. Knock before entering the client's room.

[kjo;oj]

Answer to Question 1

B
The nurse who is sharing an observation is using the most therapeutic response. Sharing observa-tions often helps the client communicate without the need for extensive questioning, focusing, or clarification.
Why don't you stick to the special diet? is an example of a nontherapeutic response. It is ask-ing for an explanation. Why? questions can cause resentment, insecurity, and mistrust.
The statement I think you need to find another physician who's better than this one is not a therapeutic response. It is giving a personal opinion.
Changing the subject is not therapeutic.

Answer to Question 2

D
Common courtesy is part of professional communication. To practise courtesy, the nurse says hello and goodbye, knocks on doors before entering, and uses self-introduction. Knocking on doors is important in addressing the client.
Because using last names is respectful in most cultures, the nurse usually use the client's last name in the initial interaction, and then uses the first name if the client requests it.
Touching the client right away would not be an appropriate action in establishing a helping rela-tionship. It would more likely be interpreted as invading the client's personal space.
Sitting far enough away from the client is important, in that the nurse should not enter the cli-ent's personal space when establishing a helping relationship. However, leaning toward the client conveys that the nurse is involved and interested in the client. Knocking on the door before en-tering the client's room would be the first step in addressing the client properly.