1. A nurse is caring for a client who has been diagnosed with major

depressive disorder. The nurse notices that the client is withdrawn, has

poor eye contact, and speaks in a low and monotone voice. Which of the

following is an appropriate therapeutic communication technique for the

nurse to use?

A) Use open-ended questions to encourage the client to express their

feelings.

B) Use silence to allow the client time to reflect on their thoughts.

C) Use humor to lighten the mood and distract the client from their

problems.

D) Use confrontation to challenge the client's negative and irrational

beliefs.

Answer: A

Rationale: Open-ended questions are effective in facilitating

communication and helping the client explore their feelings. Silence can

be used as a therapeutic communication technique, but it should be used

sparingly and with sensitivity. Humor and confrontation are not

appropriate for a client who is depressed, as they may increase the client's

feelings of guilt, shame, or hopelessness.

2. A nurse is conducting a group therapy session for clients who have

anxiety disorders. The nurse observes that one of the clients is dominating

the conversation and interrupting others. Which of the following is an

appropriate response by the nurse?

A) Ask the client to leave the group until they can respect the rules of

participation.

B) Ignore the client's behavior and focus on the other group members.

C) Acknowledge the client's contributions and redirect the discussion to

include others.

D) Confront the client about their behavior and ask them why they are

acting this way.

Answer: C

Rationale: Acknowledging the client's contributions and redirecting the

discussion to include others is a respectful and effective way of managing

a dominant group member. Asking the client to leave, ignoring their

behavior, or confronting them may be perceived as punitive, hostile, or