Therapeutic Communication & Milieu MCQs for Nursing Exams
144 questions with explanations · 26 free to practise now.
Therapeutic Communication & Milieu questions for NORCET, RRB, ESIC, CHO and state nursing officer exams, split into 1 topics. Open a topic to read sample questions with answers, or start free practice. Every question comes with a simple-English explanation.
Sample Therapeutic Communication & Milieu questions
Q1. A patient who is a single parent of three teenage children has metastatic breast cancer, and the doctor has recommended another high-dose chemotherapy. The patient's older adult parents live a 10-hour drive away and have only been able to visit twice since the initial diagnosis 14 months ago. The patient is concerned about their children's welfare during the treatment. Which potential problem would the nurse help the patient solve first?
Making realistic decisions
Finding support systems
Arranging care for the patient's children
Using denial as a primary coping mechanism
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Answer: B. Finding support systems
The nurse should first assist the patient in assessing their resources for coping with their emotional and practical needs and the needs of their family because usual coping strategies and support systems are often inadequate in especially stressful situations. The nurse may be concerned with the patient's use of denial, decision-making abilities, and ability to care for their children; however, helping the patient obtain support systems will be of more importance in this situation.
Q2. A 15-year-old boy was admitted to the pediatric unit following an injury to his leg. When told that the complicated fracture would require surgical repair and prevent a return to the football team for an unknown extended period of time, the boy throws an apple from the lunch tray at the nurse. Which type of coping behavior is the teenager exhibiting?
Displacement The answer is D. Displacement is shifting focus from an undesired object or feeling to a more acceptable object or feeling. Reaction formation is acting opposite to how one feels. Projection occurs when one attributes ones own unacceptable feelings to another. In denial one ignores unacceptable realities. PHYSIOLOGICAL INTEGRITY Reduction of Risk Potential Diagnostic tests
Projection
Denial
Reaction formation
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Answer: A. Displacement The answer is D. Displacement is shifting focus from an undesired object or feeling to a more acceptable object or feeling. Reaction formation is acting opposite to how one feels. Projection occurs when one attributes ones own unacceptable feelings to another. In denial one ignores unacceptable realities. PHYSIOLOGICAL INTEGRITY Reduction of Risk Potential Diagnostic tests
Displacement is shifting focus from an undesired object or feeling to a more acceptable object or feeling. Reaction formation is acting opposite to how one feels. Projection occurs when one attributes ones own unacceptable feelings to another. In denial one ignores unacceptable realities. PHYSIOLOGICAL INTEGRITY Reduction of Risk Potential Diagnostic tests
Q3. The patient seeing the psychiatric nurse in the mental health clinic tells the nurse, "If I tell you something very important, will you promise not to tell anyone?" Which statement is the nurse's best response?
"If you don't want me to tell anyone, then please don't tell me."
"I promise I will not tell anyone if you don't want me to."
"If it affects your care I will have to tell someone who can help."
"Why do you not want me to tell anyone if it is so important?" 372 PRIORITIZATION, DELEGATION, AND MANAGEMENT OF CARE FOR THE NCLEX-RN® EXAM
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Answer: C. "If it affects your care I will have to tell someone who can help."
A. The psychiatric nurse should not make promises he or she cannot keep. If the information must be shared with the healthcare team, then the nurse will have to break a promise to the patient. This will destroy the nurse-patient relationship. B. This is the nurse's best response. The nurse is being honest with the patient but will keep the information confidential if it does not affect the patient's care. C. The patient may need to share information that is pertinent to the patient's care and should not tell the patient he or she cannot talk to the nurse. D. Asking the patient why may put the patient on the defensive and he or she would not share the information.
Q4. A patient with diabetes mellitus is told that amputation of the leg is necessary to sustain life. The patient is very upset and tells the nurse, "This is all my doctor's fault. I have done everything I've been asked to do!" Which nursing interpretation is best for this situation?
A need to notify the hospital lawyer
An expression of guilt on the part of the patient
An ineffective defense mechanism
An expected coping mechanism
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Answer: D. An expected coping mechanism
The nurse needs to be aware of the effective and ineffective coping mechanisms that can occur in a patient when loss is anticipated. The expression of anger is known to be a normal response to impending loss, and the anger may be directed toward the self, God or other spiritual being, or caregivers. Notifying the hospital lawyer is inappropriate. Guilt may or may not be a component of the patient's feelings, and the data in the question do not indicate that guilt is present.
Q5. Prescribed mental or physical activity given to aid the patient's recovery is:
Recreational therapy
Occupational therapy
Milieu therapy
Remotivation therapy
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Answer: B. Occupational therapy
Recreational vs occupational therapy – recreational: activities to relax and refresh, or express hostility safely (e.g. baseball); occupational: prescribed mental or physical activity to aid recovery.
Are the Therapeutic Communication & Milieu questions free?
A set of 26 questions is free to practise after you enter your name and mobile number (no OTP). The full set of 144 questions is in NurseRank Premium.
Is Therapeutic Communication & Milieu asked in NORCET and other nursing officer exams?
Nursing exams test the core nursing subjects, so this subject is useful for NORCET, RRB, ESIC, CHO and state exams. Check your exam's official syllabus for exact weightage.
