therapeutic communication solved.docx

1\. It may mean an intention to interact. A.Eye contact B.A handshake C.When we say "aha." D.Silence 2.Which of the following is true about "JARGON"? A. Healthcare workers are expected to learn Jargon and use it daily B.It is a commonplace terminology unique to people within a specific type o...

1\. It may mean an intention to interact. A.Eye contact B.A handshake C.When we say "aha." D.Silence 2.Which of the following is true about "JARGON"? A. Healthcare workers are expected to learn Jargon and use it daily B.It is a commonplace terminology unique to people within a specific type of work that should be avoided when talking to clients or patients. C.Jargon is indicative of highly qualified and professional workers. D.It is scientific terminology that is exact and should be used with patients. 3.Which of the following statements are true about verbal and nonverbal communication? A.Nonverbal communication is as powerful as verbal communication. B Nonverbal communication is not as powerful as verbal communication. C When they are not consistent or incongruent, the verbal message will most likely be the one received.. D.When they are consistent and incongruent, the nonverbal message will most likely be the one received. 4.When talking to a patient from another culture and with another language, the most effective way to communicate is: A.Using a translator B.Using gestures C.Using pictures D.Using an interpreter 5.Which of the following are physiologic factors of communication? A.Impaired hearing B Pain C.Age D.Altered cognition 6.Which of the following are considered nonverbal cues? A. Clinging B Jargon C.Pitching D.Tone and rate of voice 7.Impaired verbal communication refers to A.Mental retardation B Expressive or receptive aphasia C. Hearing disability D.Decreased, delayed, or absent ability to process and use a system of symbols. 8.When a nurse is suffering from laryngitis, which of the following nonverbal cues could be the most effective in communicating with a patient? A.Gestures and eye contact B.A soft voice and physical appearance C.Write a note and tell the patient you are sick D.Posture and hand movements 9.A patient says that he does not feel any pain at all, but he grimaces every time you touch his arm. What technique could validate the accuracy of what you see? A.Stating observation B.Offering medication C.Asking questions D.Doing a head-to-toe assessment 10.A practical nurse with a BMI of 35 teaches a patient about the Cardiac diet. Besides being a nurse, she is also a nutritionist. However, the patient has doubts about what she is teaching. What could be the reason? A.Physical Appearance B.Too academic C.Use of Jargon D.The nurse has an accent 11.Which of the following are consistent with open posturing? A.Using the word "Sir" or "Mom" even when the patient tells you not to. B.Indirect eye contact C.Sitting down near the bedside. D.Standing upright by patient 12.The most effective way to discuss pain is expressed through which nonverbal cue? A.Gestures B.Sound C.Eye contact D.Posture 13.A postoperative patient obtained more than 13 points in a Glasgow-Coma scale test. After the test, he was tired and partially lethargic. Which of the following elements of communication could be the most effective in conveying a message? A.Gesture B.Silence C.Voice D.Eye contact 13.Which of the following statements is not true about touch as a nonverbal means of communication? A.It is always good to give a patient a back rub regardless of gender or age difference. B.A small child who is scared by the hospital environment will respond better to being cuddled than to a verbal explanation of what is taking place. C.When you are comfortable with physical contact with a patient, touch has great potential for conveying warmth. D.Culture, age, sex, duration, and intensity of contact will affect the interpretation of touch. 14.At 2:55 pm, five minutes before the end of her shift, the nurse answered a call light only to find out that an ambulatory patient wanted her to look for the remote control so that he could watch an ongoing football game. The nurse replies: "I will call the PCT right now so that you can watch the game." The patient answers, "Why don't you look for it yourself?" And the nurse responds back, "I would if I could, but I do have a meeting after work, and I would not want them to wait for me."What do you call this style of communication? A.Delegating communication B.Authoritative communication C.Aggressive communication D.Assertive communication 15.A subtle therapeutic technique that communicates to the patient that you are interested and want to hear more. It indicates your acceptance of the patient as a person. It usually involves nonverbal cues such as eye contact and nodding. A Moral support B.Act of kindness C.Therapeutic relationship D.Minimal encouragement 16.When talking to an older patient with a hearing aid, what would be the most effective way to communicate? A.Be sure your face is visible to the patient. B.Increase the volume of your voice. C.Just say what you want to say, whatever the patient is doing. D.lDirect your voice to the ear without hearing. 17.You find out that the CEO of the hospital has just been admitted and happens to be your patient. Since you have worked with him before, you know that he is very authoritative and does not mingle much with others. Which of the following nonverbal cues would he expect you to observe? A.Closed posture B.Open posture C.Use of gestures D.Extended eye contact 18.The nurse suspects that the patient's communication is being negatively influenced by personal attitude when he is heard stating: A. "They think I'm mentally ill but I'm not; I just get a little depressed at times." B. "I can't concentrate on anything besides getting out of here and back to my kids." C. "Obviously my therapist can't understand where I'm coming from because our lives are so different." D. "There isn't anyone here in this hospital I can trust enough to talk to about why I abuse alcohol and drugs." 19.The nature of the communication characterized in this exchange between a nurse and a chronically depressed patient is: Nurse: Is it true that you enjoy knitting? Patient: Yes, I've done it for years and am pretty good at it. Nurse: I'm just a beginner. Do you think you could give me some tips? Patient: I guess so. What would you like to know? A. Therapeutic B. Collegial C. Social D. Intrapersonal 20\. A patient expresses a sense of genuineness in the nurse providing care when sharing with family members that: A. "I believe the nurse can feel what I'm feeling." B. "I always know what the nurse expects of me; the explanations are always clear." C. "I can tell the nurse is sincere because the face supports what the mouth is saying." D. "I may not always like what the nurse has to say but I can always depend on what I'm told." 21.When providing discharge teaching to a patient for whom English is a second language, what technique will the nurse use to assess the patient's understanding of the information being shared verbally? A. Continuously evaluating the patient's nonverbal cues B. Periodically asking the patient if they have any questions C. Asking the patient to repeat the information they are given D. Providing the information in concise, written form 22.When communicating with a psychotic, schizophrenic patient, the nurse avoids the use of slang phrases most importantly because: A. Such phrases have different meanings for different people. B. Such phrases will likely trigger anxiety and frustration in the patient. C. The use of such phrases is not appropriate when communicating therapeutically with a patient. D. This patient's altered thought processes will serve to make understanding such phrases very unlikely. 23.When providing discharge teaching to a patient for whom English is a second language, what technique will the nurse use to assess the patient's understanding of the information being shared verbally? A. Continuously evaluating the patient's nonverbal cues B. Periodically asking the patient if they have any questions C. Asking the patient to repeat the information they are given D. Providing the information in concise, written form 24.The nurse is considering the need for both effective means of communication and safety when caring for a patient with impulse control issues and poor social skills. Which nursing intervention is most appropriate to address these needs? A. Reminding the patient with each interaction what space boundaries are considered safe and desired B. Asking the patient to describe and set space boundaries that feel safe and facilitate effective communication C. Clearly setting space boundaries for the patient so both patient and staff feel safe and can communicate more effectively D. Discussing the need for space boundaries and how they help both the patient and the staff feel safe and aide in communicating effectively 25.During the termination phase of the nurse-patient relationship with a dependent patient, the nurse evaluates the effectiveness of coping techniques learned by: A. Role playing with the patient in order to practice being assertive B. Asking the patient to define the difference between being assertive and being aggressive. C. Discussing how her father effectively used both assertiveness and aggressiveness to control her D. Asking, "When you used assertiveness to deal with your father during his visit, how did it work?" 26.The nurse has developed a plan in which nursing interventions are used to reinforce the patient's healthy behaviors. Which statement by the nurse will positively reinforce the patient's efforts regarding the plan? A. "How can a stress reduction plan help you at home?" B. "It sounds like you have the incentive to make healthy choices." C. "When you tried to follow the plan, how well did it work for you?" D. "It sounds as though making healthy choices is very important to you." 27.A patient indicates that he is about to share information about his illness that is shocking and embarrassing. Which nursing intervention has priority in this situation in facilitating the communication process? A. Reassuring the patient that talking will be therapeutic b\. Assuring the patient the information will be kept confidential c\. Responding to the patient's information in an accepting manner d\. Providing the patient with a private place for the discussion to occur 28.A novice nurse asks, "What is so wrong about being sympathetic with a patient who has also lost a parent like I did?" The psychiatric nurse manager responds: A. "There is a fine line between empathy and sympathy that when crossed makes you less able to be therapeutic." B. "Rather than discussing the loss of your parent with the patient, you can talk to me about it whenever you need to." C. "I'll provide you with some excellent materials that I'm sure will help you to understand why sympathy is less therapeutic." D. "Sympathy indicates that you are sharing your personal feelings and that changes the focus of the communication from the patient to you." 29\. A nurse has for the past 4 weeks been working with a psychotic patient who has been mute and very withdrawn. The patient suddenly encroaches on the nurse's personal space by touching inappropriately. What is the most therapeutic response by the nurse to address this behavior? A. Ignore it this time because the patient is, at last, responding. B. Firmly communicate acceptable boundaries to the patient. C. Gently touch the patient's head and then observe the reaction. D. Smile while telling the patient that people don't like being touched like that. 30.Which statement indicates that a novice nurse understands the purpose of therapeutic communication? "My goal for communication with any patient is to: A. maintain relationships." B. mutually share information." C. promote growth and change." D. offer advice and make suggestions." 31.The expected outcome of conducting a periodic self-evaluation of one's own responses to patients is for the nurse to continue: A. Recognizing the nurse's need for therapy B. Recognizing personal problems and strengths C. Maintaining distance from the patients' problems D. Maintaining professional boundaries with the patients 31.Which nursing response would indicate an empathetic approach to a patient who is depressed over recent losses in her life? A. "Losing a job isn't always a bad thing." B. "I lost my parents last year and still feel sad." C. "Please tell me more about what you are feeling." D. "Let's not focus on what's sad but rather what is good about life." 32.A nurse is considering the therapeutic value of touch when planning care for an anxious patient. What is the initial question the nurse should answer before initiating this technique? A. "How comfortable am I with touching this patient?" B. "Will the patient find therapeutic touch supportive?" C. "Does research support the use of therapeutic touch?" D. "Has therapeutic touch proven to be therapeutic with anxious patients?" 33.The nurse mentions, "I like to use open-ended questions and statements because they result in fuller, more revealing responses by the patient, and they stimulate discussion." What statement would the nurse ask to best stimulate conversation with a patient about their family? A. "Where does your family live?" B. "Tell me about your family." C. "Do you have a family nearby?" D. "Would you like to talk about your family?" 34.A patient is struggling to explore and solve a problem. The nurse determines that it would be therapeutic to offer alternatives. Which verbal introduction should the nurse incorporate in order to achieve this objective? A. "Have you thought of..." B. "You should..." C. "Why don't you..." D. "I think you need to..." 35.Pat has learned that she is dying. Pat starts to cry. The nurse understands therapeutic communication when the nurse: A. Asks clarifying question the encourage the pt to explain why she is crying. B. Asks the patient to talk about what exactly is making her sad. C. The nurse leaves the room to give Pat some privacy and alone time. D. The nurse allows Pat to cry on her shoulder. 36\. Nurse realizes that the pt is having a hard dealing with their diagnosis. The pt states that he is feeling alone with no one who understands. Which type of communication could be the most useful for the patient? A.Silence B.Empathy C.Reflection D.Summarization 37.Mr Agyabeng is a 70-year-old male who has multiple problems. Today he states that he is feeling badly about a new problem. The nurse needs to find out what the problem is. What type of communication is best suited to finding the problem? A.Reflecting B.Restating C.Encouraging Comparisons D.Focusing 38.The nurse understands that they need to acknowledge their pt's pain. Which statement best shows the nurse's understanding of this principle? A.Tell me more about your pain. B.You said that your pain goes from your arm to your chest? C.The pain in your arm is real and not in your imagination. D.When you said your arm is hurt, where is the pain located? 40\. Looking annoyed and not making eye contact are nonverbal blockers. A.Yes B.Mostly C.Many times B.No 41.Kelsey is a 17 yo who has decided to have an abortion. The nurse does not agree with abortion. Kelsey is afraid of the procedure. The nurse, who is Infuriated by the pts behavior, does not make eye contact with Kelsey. The nurse goes in and out of the room and looks annoyed, and only answers questions with a simple yes or no. The nurse has done what? A.Mi'Imizing feelings B.False reassurance C.Value Judgment D.Nonverbal blocker 42.Edward is a new nurse, He is very concerned about getting his tasks done. He walks in on his patient, who is looking out the window. Stan asks, "What's wrong?" The patient answers, "I'm old, and my body is wearing out." Stan replies, "Nonsense, you aren't that old, and you just have a kidney infection." What has Stan done? A. False reassurance B. Minimizing feelings C. Value judgment D. Nonverbal blocker 43\. Which of the following is NOT a key ethical principle in therapeutic communication? A\) Beneficence b\) Autonomy c\) Fidelity d\) Paternalism 44\. The ethical principle of respect for persons emphasizes the importance of a\) Maintaining confidentiality b\) Promoting the client's self-determination c\) Avoiding conflicts of interest d\) Providing competent care 45\. Which of the following is an example of a breach of client confidentiality? a\) Discussing a client's case with their family members b\) Keeping detailed case notes in a secure location c\) Obtaining the client's written consent before sharing information d\) Consulting with a supervisor about a client's treatment plan 46\. The ethical principle of justice in therapeutic communication refers to a\) Treating all clients equally regardless of their personal characteristics b\) Ensuring that clients have access to the resources they need c\) Avoiding discrimination and bias in the provision of care d\) All of the above 47\. Which of the following is an example of a dual relationship in therapeutic communication? a\) Providing counseling to a client and also serving as their supervisor at work b\) Maintaining professional boundaries and avoiding personal relationships with clients c\) Referring a client to another healthcare provider for specialized treatment d\) Discussing a client's case with their family members to obtain additional information 48\. The ethical principle of beneficence in therapeutic communication means: a\) Avoiding harm and promoting the well-being of the client b\) Respecting the client's right to make autonomous decisions c\) Maintaining confidentiality and protecting client information d\) Treating all clients fairly and without discrimination 49\. Which of the following is an example of informed consent in therapeutic communication? a\) Obtaining the client's signature on a treatment plan b\) Discussing the potential risks and benefits of a proposed intervention c\) Providing the client with a written copy of the healthcare provider's credentials d\) Both b and c 50\. The ethical principle of non-maleficence in therapeutic communication means: a\) Avoiding harm and promoting the well-being of the client b\) Respecting the client's right to make autonomous decisions c\) Maintaining confidentiality and protecting client information d\) Treating all clients fairly and without discrimination