Registered Psychiatric Nurses of Canada Examination (RPNCE) Practice test

Which intervention is most effective in managing anxiety in a psychiatric setting?

1. Medication alone

2. Therapeutic communication

3. Physical restraints

4. Distraction techniques

The correct answer is: Therapeutic communication

Therapeutic communication is an essential intervention in managing anxiety within a psychiatric setting because it promotes a trusting relationship between the nurse and the patient. This type of communication allows the patient to express their feelings, thoughts, and concerns in a safe environment. Through active listening, empathy, and validating the patient's feelings, the nurse can help the patient gain insight into their anxiety and explore coping mechanisms. Utilizing therapeutic communication can help de-escalate feelings of anxiety by allowing patients to feel heard and understood. It also empowers patients by facilitating problem-solving and the exploration of their emotions, which can lead to a reduction in anxiety symptoms. Furthermore, engaging in therapeutic communication fosters a supportive atmosphere, which is critical in psychiatric care. Other interventions can play a role in managing anxiety, but they may not be as effective or holistic as therapeutic communication. For instance, medication can help alleviate anxiety symptoms but does not address the underlying issues or enhance the patient's coping skills. Physical restraints are typically used in emergencies and can increase anxiety or distress rather than alleviate it. Distraction techniques may provide temporary relief, but without deeper emotional support through therapeutic communication, they may not lead to long-term management of anxiety.