therapeutic communication is the foundation of a patient centered interview which of the following techniques is not considered therapeutic therapeutic communication is the foundation of a patient centered interview which of the following techniques is not considered therapeutic
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Nursing Elites

ATI RN

ATI Mental Health Proctored Exam 2023

1. Therapeutic communication is the foundation of a patient-centered interview. Which of the following techniques is not considered therapeutic?

Correct answer: D

Rationale: Asking 'why' questions is not considered a therapeutic technique in patient-centered communication as it can make patients feel defensive or judged. 'Why' questions may imply criticism or put the patient on the spot, potentially hindering open and honest communication. Instead, focusing on open-ended questions that encourage patients to express their feelings and thoughts without feeling judged or interrogated is more conducive to therapeutic communication.

2. What major departure did Freud's position have from prevailing viewpoints around the early 1900s?

Correct answer: B

Rationale: Freud's major departure from prevailing viewpoints around the early 1900s was that he viewed people as not fully aware of the forces that control their behavior. This is reflected in his emphasis on unconscious forces influencing behavior. Choice A is incorrect as Freud focused on psychological rather than solely biological causes. Choice C is incorrect as Freud's theory did not emphasize free will but rather unconscious drives. Choice D is incorrect as Freud emphasized internal psychological forces over external environmental factors.

3. The client states, “the doctor says I am nearsighted. I do not get it.” What would be the best response by the nurse?

Correct answer: B

Rationale: The correct response is to explain to the client what nearsightedness means, which is having difficulty seeing distant objects, as known as myopia. Choice A is not helpful as changing doctors is not necessary for this situation. Choice C is premature as wearing glasses is a possible solution but not the only one. Choice D is incorrect as nearsightedness (myopia) often requires glasses for correction.

4. Which metabolic disease is characterized by poor healing, severe forms of periodontal disease, necrosis, xerostomia, and candidiasis?

Correct answer: B

Rationale: Diabetes mellitus is the correct answer. It is associated with poor wound healing, severe periodontal disease, tissue necrosis, dry mouth (xerostomia), and an increased susceptibility to oral infections like candidiasis. Hypopituitarism, hyperthyroidism, and renal disease are not typically linked to the specific oral manifestations described in the question.

5. What is the primary treatment goal for a child with nephrotic syndrome?

Correct answer: A

Rationale: The correct answer is A: Reduce proteinuria. In nephrotic syndrome, the primary treatment goal is to reduce proteinuria to prevent further kidney damage. Lowering blood pressure (choice B) is important in managing some types of kidney disease but is not the primary treatment goal in nephrotic syndrome. Increasing urine output (choice C) and preventing infections (choice D) are important aspects of supportive care but are not the primary treatment goal for nephrotic syndrome.

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