Barkley 3p exam 2023-2024 actual
exam 170 questions and correct
detailed answers with rationales
(verified answers) brand new!!! Q&a
verified
A
... [Show More] patient says to the nurse, "I dreamed I was stoned. When I
woke up, I felt emotionally drained, as though I hadn't rested
well." Which response should the nurse use to clarify the
patient's comment?
a. "It sounds as though you were uncomfortable with the content
of your dream."
b. "I understand what you're saying. Bad dreams leave me
feeling tired, too."
c. "So you feel as though you did not get enough quality sleep
last night?"
d. "Can you give me an example of what you mean by 'stoned'?"
correct answer-ANS: D
The technique of clarification is therapeutic and helps the nurse
examine the meaning of the patient's statement. Asking for a
definition of "stoned" directly asks for clarification. Restating that
the patient is uncomfortable with the dream's content is
parroting, a non-therapeutic technique. The other responses fail
to clarify the meaning of the patient's comment.
A patient diagnosed with schizophrenia tells the nurse, "The CIA
is monitoring us through the fluorescent lights in this room. Be
careful what you say." Which response by the nurse would be
most therapeutic?
a. "Let's talk about something other than the CIA."
b. "It sounds like you're concerned about your privacy."
c. "The CIA is prohibited from operating in health care facilities."
d. "You have lost touch with reality, which is a symptom of your
illness." correct answer-ANS: B
It is important not to challenge the patient's beliefs, even if they
are unrealistic. Challenging undermines the patient's trust in the
nurse. The nurse should try to understand the underlying
feelings or thoughts the patient's message conveys. The correct
response uses the therapeutic technique of reflection. The other
comments are non-therapeutic. Asking to talk about something
other than the concern at hand is changing the subject. Saying
that the CIA is prohibited from operating in health care facilities
gives false reassurance. Stating that the patient has lost touch
with reality is truthful, but uncompassionate.
The patient says, "My marriage is just great. My spouse and I
always agree." The nurse observes the patient's foot moving
continuously as the patient twirls a shirt button. The conclusion
the nurse can draw is that the patient's communication is:
a. clear.
b. mixed.
c. precise.
d. inadequate. correct answer-ANS: B
Mixed messages involve the transmission of conflicting or
incongruent messages by the speaker. The patient's verbal
message that all was well in the relationship was modified by
the nonverbal behaviors denoting anxiety. Data are not present
to support the choice of the verbal message being clear, explicit,
or inadequate.
A nurse interacts with a newly hospitalized patient. Select the
nurse's comment that applies the communication technique of
"offering self."
a. "I've also had traumatic life experiences. Maybe it would help
if I told you about them."
b. "Why do you think you had so much difficulty adjusting to this
change in your life?"
c. "I hope you will feel better after getting accustomed to how
this unit operates."
d. "I'd like to sit with you for a while to help you get comfortable
talking to me." correct answer-ANS: D
"Offering self" is a technique that should be used in the
orientation phase of the nurse-patient relationship. Sitting with
the patient, an example of "offering self," helps to build trust and
convey that the nurse cares about the patient. Two incorrect
responses are ineffective and non-therapeutic. The other
incorrect response is therapeutic but is an example of "offering
hope."
Which technique will best communicate to a patient that the
nurse is interested in listening?
a. Restating a feeling or thought the patient has expressed.
b. Asking a direct question, such as "Did you feel angry?"
c. Making a judgment about the patient's problem.
d. Saying, "I understand what you're saying." correct answer-
ANS: A
Restating allows the patient to validate the nurse's
understanding of what has been communicated. Restating is an
active listening technique. Judgments should be suspended in a
nurse-patient relationship. Close-ended questions such as "Did
you feel angry?" ask for specific information rather than showing
understanding. When the nurse simply states that he or she
understands the patient's words, the patient has no way of
measuring the understanding.
A patient discloses several concerns and associated feelings. If
the nurse wants to seek clarification, which comment would be
appropriate?
a. "What are the common elements here?"
b. "Tell me again about your experiences."
c. "Am I correct in understanding that . . ."
d. "Tell me everything from the beginning." correct answer-ANS:
C
Asking, "Am I correct in understanding that..." permits
clarification to ensure that both the nurse and patient share
mutual understanding of the commu [Show Less]