Registered Practical Nurse (RPN) Practice Test

When a psychiatric nurse uses "I" statements, what is she seeking?

1. Personal validation

2. Explicit feedback

3. Client approval

4. Professional recognition

The correct answer is: Explicit feedback

Using "I" statements primarily focuses on enhancing communication and self-expression. This approach allows the nurse to articulate her thoughts, feelings, and experiences in a clear and non-confrontational manner. By framing messages with "I" statements, the nurse invites explicit feedback from clients, as these statements often prompt a more open dialogue about emotions and perceptions. For example, saying "I feel concerned when you ignore my attempts to discuss your feelings" encourages the client to respond with their perspective, leading to a better understanding of the client's viewpoint or feelings. This technique fosters a safe space for communication, which is essential in psychiatric nursing. The other options, while they may seem relevant, do not capture the primary intent behind using "I" statements. Personal validation focuses on the individual’s need for affirmation rather than fostering dialogue. Client approval suggests an external validation that may not be the primary goal of effective communication in a therapeutic setting. Professional recognition relates to acknowledgment of the nurse's expertise and is not the central aim of using "I" statements in interactions with clients.