ch 6

Question 1

Client: I had an accident
Nurse: tell me about your accident
This is an example of which therapeutic communication technique

Answer 1

-general lead

Question 2

earlier today you said you were concerned that your son was still upset with you. When I stopped by your room about an hour ago you and your son seemed relaxed and smiling as you spoke to each other. How did things go between you two?
This is an example for which therapeutic technique?

Answer 2

-encouraging comparison

Question 3

why do you always complain about the night nurse? she is a nice woman and a fine nurse and has five kids to support. you are wring when you say she is noisy and uncaring? This is an example of which nontherapeutic communication technique?

Answer 3

-defending

Question 4

How does jerry make you upset? is a nontherapeutic technique because it

Answer 4

-indicates an external source of the emotion

Question 5

client: I was so upset about my sister ignoring my pain when I broke my leg
nurse: when are you going to your next diabetes education program?
This is a nontherapeutic response because the nurse has

Answer 5

-changed the topic

Question 6

when the client says “I met joe at the dance last week” what is the best way for the nurse to ask the client to describe her relationship with joe?
mean that belong guy with the dark blue eyes?

Answer 6

-tell me about you and joe

Question 7

which of the following is a concrete message

Answer 7

-help me put this pile of books on Marsha’s desk

Question 8

the advantages of assertive communication are (select all that apply)

Answer 8

-all persons right are respected

-it protects the speaker from being exploited

-the speaker can say no to another person’s request

-the speaker can safely express thoughts and feelings

Question 9

which of the following are examples of a therapeutic communication response? select all that apply

Answer 9

-“Tell me more about your discharge plans”

-“What might you do next time you’re feeling angry”

Question 10

the nurse uses a variety of therapeutic communication skills when working with patients. which of the following is a therapeutic goal that can be accomplished through the use of therapeutic communication skills

Answer 10

assesses the patients perception of a problem

Question 11

which one of the following goals of therapeutic communication would the nurse strive to attain first?

Answer 11

facilitate the cient’s expression of emotions

Question 12

which of the following statements is true of empathy? select all

Answer 12

-it is the ability to place oneself into the experience of another for a moment in time

-it is developed by gathering information from the client

Question 13

the nurse asks the patient what he would like to talk about. this is an example of

Answer 13

broad opening

Question 14

a patient says it’s been so long since i’ve been with my family. which statement is an example of restating

Answer 14

you say you haven’t seen your family in a while

Question 15

the nurse replies that doctors are very busy. what can i help you with? the nurse is incorporated which nontherapeutic technique in this response

Answer 15

defending

Question 16

a patient asks the nurse what she should do about her cheating husband. the nurse replies you should divorce him because you deserve better than that. the nurse used which communication technique

Answer 16

giving advice

Question 17

the nurse asks the client what that experience was like. which communication skill is the nurse using?

Answer 17

encouraging expression

Question 18

which of the following are nontherapeutic techniques? select all

Answer 18

-agreeing

-challenging

-giving approval

Question 19

which of the following statements would be empathetic response in a client interaction

Answer 19

you must have been embarrassed when your father yelled at you in the grocery store

Question 20

the nurse says to the client you become very anxious when we start talking about your drinking. which of the following techniques is the nurse using?

Answer 20

making an observation

Question 21

the nurse is siting down with a patient to begin a conversation. which of the following positions should the nurse take to convey acceptance of the patient?

Answer 21

sitting upright facing the patient with both feet on the floor

Question 22

a patient states, i’ll feel fine. It’s a good day. the nurse notes the patient looking away, and a decreasing pitch in his voice while speaking. which of the following is the most therapeutic response by the nurse?

Answer 22

you say you feel fine, but you dont really sound fine

Question 23

which of the following statements about verbal and nonverbal communication is correct

Answer 23

non verbal communication is as important if not more than verbal

Question 24

the nurse must be alert to the nonverbal expressions of the client. because the meaning attached to nonverbal behavior is subjective, it is important for the nurse to

Answer 24

validate the meaning of the nonverbal behavior

Question 25

a nurse has invited a patient to sit down and have conversation. the patient takes the first seat. the nurse pulls up another chair to sit with the patient. approx how far from the patient should the nurse be

Answer 25

3-4 feet

Question 26

the nurse is sitting with a patient who is crying. after a few minutes, the nurse places open hand on the patient’s shoulder. which of the following best describes the purpose of the nurse’s touch with this patient?

Answer 26

to offer comfort and support for the patient

Question 27

which of the following is the best reason that many psychiatric care units have policies against clients touching staff

Answer 27

some clients have trouble knowing when touch is and isn’t appropriate

Question 28

a client has been making sexual comments when communicating with the nurse. wants to spend some time talking to the patient while respecting the patient’s right to privacy. which setting would be most appropriate for the nurse to talk with the client?

Answer 28

in a quiet corner of the day room at least 4 feet away from others

Question 29

which of the following distance zones is acceptable for people who mutually desire personal contact?

Answer 29

intimate

Question 30

the nurse should use clear concrete messages when working with patients displaying which of the following conditions. select all

Answer 30

-anxiety -dementia -schizophrenia

Question 31

which statements are true of concrete and abstract messages. select all

Answer 31

-abstract messages include figures of speech that are difficult to interpret -concrete messages are clear, direct and easy to understand

Question 32

the nurse asks the patient what was it like for you when you first knew you had no place to go? the patient looks down and pauses. which action by the nurse is most therapeutic

Answer 32

sit quietly until the patient responds

Question 33

a patient remarks, you know it’s the same every time. the nurse should respond by stating

Answer 33

im not quite sure what you mean. please explain

Question 34

a patient states, right before i go there i was doing alright. my job was going well, my wife and i were happy, and we just moved into a new apartment. the nurse responds, you and your wife were happy. tell me more about that. this is an example of which therapeutic technique?

Answer 34

exploring

Question 35

a patient is sitting alone, slouched, with eyes closed. the nurse approaches. which statement is most likely to encourage the patient to talk?

Answer 35

you look like you are deep in thought

Question 36

a patient yells, all the nurses here are so mean. none of you really care about us. the most therapeutic response would be

Answer 36

you seem very irritated

Question 37

patient says to the nurse, I wonder what’s playing at the movie tonight. the most therapeutic response would be

Answer 37

are you telling me you would like to go to the movies?

Question 38

the client says to the nurse, I have special powers because I am the mother of god. I can heal everyone in the hospital. the nurse’s best response would be

Answer 38

it would be unusual for anyone to have that kind of power

Question 39

during the admission interview, the nurse asks the client what led to his hospitalization. the client responds, they lied about me. they said i murdered my mother, but you are the killers. the best initial response by the nurse would be

Answer 39

your having very frightening thoughts

Question 40

the client stated, I was so upset about my sister ignoring me when I was talking about being ashamed. which nontherapeutic technique would the nurse be using if the nurse would state how are your stress reduction classes going

Answer 40

changing the subject

Question 41

during the assessment, the client says the cia is stalking him. the best response by the nurse would be

Answer 41

what kind of things have been happening

Question 42

the nurse is trying to obtain some information about family relationships from the client. which of the following statements is best

Answer 42

tell me your feelings about your family situation

Question 43

a client is fearful and reluctant to talk. which of the following techniques is most effective when trying to engage the client in interaction

Answer 43

broad opening