which of the following are therapeutic communication techniques that a nurse can use when interacting with clients
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Nursing Elites

ATI RN

ATI Mental Health

1. Which of the following are therapeutic communication techniques that a healthcare professional can use when interacting with clients?

Correct answer: A

Rationale: Therapeutic communication techniques aim to establish a trusting and supportive relationship between the healthcare professional and the client. Using silence is a valid therapeutic technique that allows the client to reflect and express their thoughts. On the other hand, discouraging the client from washing their hands goes against good hygiene practices and is not therapeutic. Giving advice and providing reassurance can be non-therapeutic if not used appropriately, as they may undermine the client's autonomy and problem-solving abilities.

2. In managing a patient with anorexia nervosa, which initial treatment goal is most important?

Correct answer: B

Rationale: The most crucial initial treatment goal for anorexia nervosa is restoring nutritional status. This is essential to prevent life-threatening complications associated with severe malnutrition, such as organ damage and cardiac issues. Addressing distorted body image, resolving family conflicts, and increasing social interactions are important aspects of treatment, but they are secondary to the critical need of restoring the patient's nutritional status to ensure their physical well-being and recovery.

3. A patient with major depressive disorder has been prescribed an MAOI. The patient should be educated to avoid which type of food to prevent hypertensive crises?

Correct answer: C

Rationale: The correct answer is C: Tyramine-rich foods. Patients prescribed MAOIs should avoid tyramine-rich foods to prevent hypertensive crises. Tyramine-rich foods can interact with MAOIs, leading to a sudden and dangerous increase in blood pressure. Examples of tyramine-rich foods include aged cheeses, cured meats, pickled or fermented foods, and certain beverages like beer and wine. Choices A, B, and D are incorrect because they are not associated with causing hypertensive crises when taken with MAOIs.

4. What should the nurse include in patient education for a patient starting on bupropion for major depressive disorder?

Correct answer: A

Rationale: Patients prescribed bupropion should be educated to avoid consuming alcohol while on this medication to reduce the risk of seizures. Bupropion lowers the seizure threshold, and alcohol can further increase this risk. It is important for patients to understand the potential consequences of combining bupropion with alcohol to ensure their safety and treatment effectiveness. Choices B, C, and D are incorrect. Taking bupropion in the morning does not prevent insomnia; it is not associated with significant weight gain; and it is not a first-line treatment for anxiety.

5. Which statement about the concept of psychoses is most accurate?

Correct answer: B

Rationale: The most accurate statement about psychoses is that individuals experiencing it often exhibit limited distress because they are not fully aware of their altered perception of reality. They may not recognize that their behaviors are maladaptive or acknowledge the presence of psychological issues. Choice A is incorrect because individuals with psychoses may not be aware that their behaviors are maladaptive. Choice C is incorrect because individuals with psychoses may not have insight into their psychological problems. Choice D is incorrect because individuals with psychoses often struggle to differentiate between reality and their altered perceptions.

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