59 Questions
Which of the following is NOT a therapeutic use for silence?
Interrupting concentration
What percentage of communication is believed to come from spoken words?
7%
Which of the following is an example of paralanguage?
Vocal inflections
What is the term for the use and relationship of space to communication?
Proxemics
What is the term for a tactile stimulus produced by making personal contact with another person or object?
Touch
How do most people in Western countries feel about strangers being in their personal space?
Comfortable
Which of the following is an example of nonverbal communication?
Using a name tag
Which behavior is considered a barrier to a nurse-client relationship?
Sharing personal problems with the client
What is an important aspect of effective communication?
Receiving feedback indicating understanding
Which behavior can negatively impact a nurse-client relationship?
Mispronouncing the client's name
What is the stronger component in any interaction?
Nonverbal communication
Which behavior is considered a barrier to a nurse-client relationship?
Abandoning the client at stressful times
Which behavior is considered a barrier to a nurse-client relationship?
Revealing confidential information
Which one of these factors does NOT affect the ability to communicate by speech or in writing?
Verbal skills
What is the best nursing response when a client is angry or crying?
Remain nonjudgmental and allow the client to express emotions
What is the purpose of therapeutic verbal communication?
To explore problems with the client and encourage expression of feelings
What is the role of silence in communication?
To encourage the client to participate in verbal discussions
What is the recommended nursing response when a client is reticent and uncommunicative?
Wait and be patient, allowing the client to share when they are ready
What is the importance of active listening in communication?
To fully involve oneself in what the client says
What is the role of reminiscing in communication with older adults?
To reinforce the client's value and unique identity
Which of the following is NOT a therapeutic use of affective touch?
Disfigurement
What can help prevent clients from misinterpreting physical nearness and touching in personal and intimate zones as having sexual connotations?
All of the above
Which population poses unique challenges for communication due to verbal impairment, deafness, or cognitive deficits?
Clients with Alzheimer's disease
What is expressive aphasia?
Inability to use verbal language skills
What communication tool can be used for clients who are deaf and proficient in lip reading and American Sign Language (ASL)?
Webcam
What is a classic symptom of Alzheimer's disease?
All of the above
What technique may facilitate communication with a client who has Alzheimer's disease?
All of the above
What is the main purpose of affective touch?
To provide physical comfort
What is the role of The Joint Commission (TJC) regarding communication with clients?
To mandate communication with all clients
Which of the following is NOT a technique of nonverbal communication?
Written words
What percentage of communication is believed to come from body language?
55%
What is the purpose of affective touch?
To demonstrate concern or affection
What is the term for the use and relationship of space to communication?
Proxemics
Which of the following is NOT a zone of communication according to Edward T. Hall?
Public space
What is the main purpose of silence in communication?
To provide a personal presence
What is the term for vocal sounds that are not actually words?
Paralanguage
Which of the following is NOT a barrier to a nurse-client relationship?
Being inattentive to the client's requests
What is the stronger component in any interaction?
Nonverbal communication
Which of the following is NOT a form of verbal communication?
Using body language
What is the purpose of communication?
To exchange information
Which of the following behaviors is considered a barrier to a nurse-client relationship?
Using offensive body or breath odor
What is the recommended nursing response when a client is reticent and uncommunicative?
Allow the client to take their time and provide a supportive presence
What is the term for a tactile stimulus produced by making personal contact with another person or object?
Affective touch
What is an example of a factor that affects the ability to communicate by speech or in writing?
Motor functions involving the throat, tongue, and teeth
What is an example of a behavior that indicates disinterest during communication?
Looking out a window
What is an example of a nontherapeutic communication trap?
Probing and prying
What is an example of a therapeutic use for silence in communication?
Returning later with a follow-up
What is an example of a behavior that negatively impacts a nurse-client relationship?
Being nonverbal and unresponsive
What is an example of paralanguage in communication?
Using gestures to accompany words
What is an example of a cultural exception to making frequent eye contact during communication?
Positioning oneself at the client's level
Which of the following is a technique that may facilitate communication with a verbally impaired client who cannot use a writing device?
Using a webcam for video interpreting
Which of the following clients may have difficulty expressing themselves verbally and eventually become mute?
Clients with Alzheimer disease
Which of the following is NOT a factor that poses unique challenges for communication with clients who are verbally impaired, deaf, or have cognitive deficits?
Clients who have sensory deprivation
Which of the following is an approach that may prevent clients from misinterpreting physical nearness and touching in personal and intimate zones as having sexual connotations?
All of the above
Which of the following is a classic symptom of Alzheimer disease?
All of the above
Which of the following is an example of a communication tool that can be used for clients who are deaf and proficient in lip reading and American Sign Language (ASL)?
A webcam for video interpreting
Which of the following is NOT a therapeutic use of affective touch?
Improving the vision of a visually impaired client
Which of the following is an example of a behavior that can negatively impact a nurse-client relationship?
Speaking naturally at a normal rate and volume
Which of the following is NOT a technique that may facilitate communicating with a client who has Alzheimer disease?
Using long sentences and difficult words
Study Notes
Barriers to a Nurse-Client Relationship and Effective Communication
- Barriers to a nurse-client relationship include appearing unkempt, failing to identify oneself, mispronouncing the client's name, showing disinterest in the client's personal history, and using crude language.
- Verbal communication involves speaking, reading, and writing, and both the nurse and client use it to gather facts and exchange ideas.
- Factors that affect verbal communication include attention and concentration, language compatibility, verbal skills, hearing and visual acuity, motor functions, sensory distractions, interpersonal attitudes, literacy, and cultural similarities.
- Nurses should promote factors that enhance verbal communication and control or eliminate those that interfere with accurate perception of expressed ideas.
- Active listening is important during communication, and it involves attending to and becoming fully involved in what the client says.
- Giving attention to what clients say provides a stimulus for meaningful interaction, and behaviors that indicate boredom or disinterest should be avoided.
- Silence plays an important role in communication and can be used to encourage client participation, relieve anxiety, allow for processing information, and express feelings.
- Nonverbal communication involves what is not said, and it is believed that 55% of communication comes from body language, 38% from tone of voice, and only 7% from spoken words.
- Kinesics, or body language, includes facial expressions, posture, gestures, and body movements, and it is important for nurses to be aware of their own kinesics during client interactions.
- Paralanguage, or vocal sounds that are not words, also communicates a message and includes vocal inflections, volume, pitch, and rate of speech.
- Proxemics, or the use and relationship of space to communication, varies among people from different cultural backgrounds and can affect nonverbal communication.
- Touch occurs frequently in nurse-client relationships and can be task-oriented or affective.
Quiz: Therapeutic Uses of Silence in Counseling Explore the various ways silence can be used as a powerful therapeutic tool in counseling sessions. Test your knowledge on how silence can relieve anxiety, promote introspection, and facilitate client processing. Discover the benefits of allowing clients to use silence as a means of expression and self-reflection.
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