Registered Practical Nurse (RPN) Practice Test

What is the best intervention to promote trust in a patient with schizoaffective disorder during hospitalization?

1. Offering reassurance in a firm, authoritative voice

2. Offering reassurance in a soft, nonthreatening voice

3. Engaging in confrontational dialogue

4. Ignoring the patient's concerns

The correct answer is: Offering reassurance in a soft, nonthreatening voice

Promoting trust in a patient with schizoaffective disorder during hospitalization is critical for their therapeutic progress. Offering reassurance in a soft, nonthreatening voice is particularly effective, as it helps create a safe and supportive environment for the patient. This approach acknowledges the patient's experiences and emotions, which can often be distorted due to their condition. A gentle tone can significantly reduce anxiety and build rapport, making the patient feel valued and understood. This method also encourages open communication, allowing the patient to express their concerns and feelings without fear of judgment or escalating their distress. Trust is fundamental in mental health care, and by using a soothing voice, the healthcare provider demonstrates empathy and compassion, essential components in fostering a trusting therapeutic relationship. The other options, while possibly intended to be supportive, do not effectively encourage trust. A firm, authoritative voice may convey dominance rather than comfort, potentially increasing the patient's anxiety. Engaging in confrontational dialogue can lead to defensiveness and distrust, further isolating the patient. Ignoring the patient's concerns disregards their feelings and experiences, which can erode trust and impede their willingness to cooperate with treatment.