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Homework answers / question archive / Chapter 8: Therapeutic Communication Multiple Choice Identify the choice that best completes the statement or answers the question

Chapter 8: Therapeutic Communication Multiple Choice Identify the choice that best completes the statement or answers the question

Nursing

Chapter 8: Therapeutic Communication

Multiple Choice

Identify the choice that best completes the statement or answers the question.

 

____       1)   Which therapeutic communication technique is being used in this nurse–client interaction?

Client: “When I get angry, I get into a fistfight with my wife or I take it out on the kids.”

Nurse: “I notice that you are smiling as you talk about this physical violence.”

A.

Encouraging comparison

B.

Exploring

C.

Formulating a plan of action

D.

Making observations

 

 

____       2.   Which therapeutic communication technique is being used in this nurse–client interaction?

Client: “My father spanked me often.”

Nurse: “Your father was a harsh disciplinarian.”

A.

Restatement

B.

Offering general leads

C.

Focusing

D.

Accepting

 

 

____       3.   Which therapeutic communication technique is being used in this nurse–client interaction?

Client: “When I am anxious, the only thing that calms me down is alcohol.”

Nurse: “Other than drinking, what alternatives have you explored to decrease anxiety?”

A.

Reflecting

B.

Making observations

C.

Formulating a plan of action

D.

Giving recognition

 

 

____       4.   The nurse is interviewing a newly admitted psychiatric client. Which nursing statement is an example of offering a “general lead”?

A.

“Do you know why you are here?”

B.

“Are you feeling depressed or anxious?”

C.

“Yes, I see. Go on.”

D.

“Can you chronologically order the events that led to your admission?”

 

 

____       5.   A nurse states to a client, “Things will look better tomorrow after a good night’s sleep.” This is an example of which communication technique?

A.

The therapeutic technique of “giving advice”

B.

The therapeutic technique of “defending”

C.

The nontherapeutic technique of “presenting reality”

D.

The nontherapeutic technique of “giving false reassurance”

 

 

____       6.   A client diagnosed with post-traumatic stress disorder is admitted to an inpatient psychiatric unit for evaluation and medication stabilization. Which therapeutic communication technique used by the nurse is an example of a broad opening?

A.

“What occurred prior to the rape, and when did you go to the emergency department?”

B.

“What would you like to talk about?”

C.

“I notice you seem uncomfortable discussing this.”

D.

“How can we help you feel safe during your stay here?”

 

 

____       7.   A nurse is assessing a client diagnosed with schizophrenia for the presence of hallucinations. Which therapeutic communication technique used by the nurse is an example of making observations?

A.

“You appear to be talking to someone I do not see.”

B.

“Please describe what you are seeing.”

C.

“Why do you continually look in the corner of this room?”

D.

“If you hum a tune, the voices may not be so distracting.”

 

 

____       8.   A nurse maintains an uncrossed arm and leg posture. This nonverbal behavior is reflective of which letter of the SOLER acronym for active listening?

A.

S

B.

O

C.

L

D.

E

E.

R

 

 

____       9.   An instructor is correcting a nursing student’s clinical worksheet. Which instructor statement is the best example of effective feedback?

A.

“Why did you use the client’s name on your clinical worksheet?”

B.

“You were very careless to refer to your client by name on your clinical worksheet.”

C.

“Surely you didn’t do this deliberately, but you breeched confidentiality by using the client’s name.”

D.

“It is disappointing that after being told, you’re still using client names on your worksheet.”

 

 

____     10.   After assertiveness training, a formerly passive client appropriately confronts a peer in group therapy. The group leader states, “I’m so proud of you for being assertive. You are so good!” Which communication technique has the leader employed?

A.

The nontherapeutic technique of giving approval

B.

The nontherapeutic technique of interpreting

C.

The therapeutic technique of presenting reality

D.

The therapeutic technique of making observations

 

 

____     11.   What is the purpose of a nurse providing appropriate feedback?

A.

To give the client good advice

B.

To advise the client on appropriate behaviors

C.

To evaluate the client’s behavior

D.

To give the client critical information

 

 

____     12.   A client who frequently exhibits angry outbursts is diagnosed with antisocial personality disorder. Which appropriate feedback should a nurse provide when this client experiences an angry outburst?

A.

“Why do you continue to alienate your peers by your angry outbursts?”

B.

“You accomplish nothing when you lose your temper like that.”

C.

“Showing your anger in that manner is very childish and insensitive.”

D.

“During group, you raised your voice, yelled at a peer, left, and slammed the door.”

 

 

____     13.   A client diagnosed with dependant personality disorder states, “Do you think I should move from my parent’s house and get a job?” Which nursing response is most appropriate?

A.

“It would be best to do that in order to increase independence.”

B.

“Why would you want to leave a secure home?”

C.

“Let’s discuss and explore all of your options.”

D.

“I’m afraid you would feel very guilty leaving your parents.”

 

 

____     14.   When interviewing a client, which nonverbal behavior should a nurse employ?

A.

Maintaining indirect eye contact with the client

B.

Providing space by leaning back away from the client

C.

Sitting squarely, facing the client

D.

Maintaining open posture with arms and legs crossed

 

 

____     15.   A mother rescues two of her four children from a house fire. In the emergency department, she cries, “I should have gone back in to get them. I should have died, not them.” What is the nurse’s best response?

A.

“The smoke was too thick. You couldn’t have gone back in.”

B.

“You’re feeling guilty because you weren’t able to save your children.”

C.

“Focus on the fact that you could have lost all four of your children.”

D.

“It’s best if you try not to think about what happened. Try to move on.”

 

 

____     16.   A newly admitted client diagnosed with obsessive-compulsive disorder (OCD) washes hands continually. This behavior prevents unit activity attendance. Which nursing statement best addresses this situation?

A.

“Everyone diagnosed with OCD needs to control their ritualistic behaviors.”

B.

“It is important for you to discontinue these ritualistic behaviors.”

C.

“Why are you asking for help if you won’t participate in unit therapy?”

D.

“Let’s figure out a way for you to attend unit activities and still wash your hands.”

 

 

____     17.   Which example of a therapeutic communication technique would be effective in the planning phase of the nursing process?

A.

“We’ve discussed past coping skills. Let’s see if these coping skills can be effective now.”

B.

“Please tell me in your own words what brought you to the hospital.”

C.

“This new approach worked for you. Keep it up.”

D.

“I notice that you seem to be responding to voices that I do not hear.”

 

 

____     18.   A client tells the nurse, “I feel bad because my mother does not want me to return home after I leave the hospital.” Which nursing response is therapeutic?

A.

“It’s quite common for clients to feel that way after a lengthy hospitalization.”

B.

“Why don’t you talk to your mother? You may find out she doesn’t feel that way.”

C.

“Your mother seems like an understanding person. I’ll help you approach her.”

D.

“You feel that your mother does not want you to come back home?”

 

 

____     19.   A client’s younger daughter is ignoring curfew. The client states, “I’m afraid she will get pregnant.” The nurse responds, “Hang in there. Don’t you think she has a lot to learn about life?” This is an example of which communication block?

A.

Requesting an explanation

B.

Belittling the client

C.

Making stereotyped comments

D.

Probing

 

 

____     20.   Which nursing statement is a good example of the therapeutic communication technique of giving recognition?

A.

“You did not attend group today. Can we talk about that?”

B.

“I’ll sit with you until it is time for your family session.”

C.

“I notice you are wearing a new dress and you have washed your hair.”

D.

“I’m happy that you are now taking your medications. They will really help.”

 

 

____     21.   A client is struggling to explore and solve a problem. Which nursing statement would verbalize the implication of the client’s actions?

A.

“You seem to be motivated to change your behavior.”

B.

“How will these changes affect your family relationships?”

C.

“Why don’t you make a list of the behaviors you need to change.”

D.

“The team recommends that you make only one behavioral change at a time.”

 

 

____     22.   The nurse asks a newly admitted client, “What can we do to help you?” What is the purpose of this therapeutic communication technique?

A.

To reframe the client’s thoughts about mental health treatment

B.

To put the client at ease

C.

To explore a subject, idea, experience, or relationship

D.

To communicate that the nurse is listening to the conversation

 

 

____     23.   A student nurse tells the instructor, “I’m concerned that when a client asks me for advice I won’t have a good solution.” Which should be the nursing instructor’s best response?

A.

“It’s scary to feel put on the spot by a client. Nurses don’t always have the answer.”

B.

“Remember, clients, not nurses, are responsible for their own choices and decisions.”

C.

“Just keep the client’s best interests in mind and do the best that you can.”

D.

“Set a goal to continue to work on this aspect of your practice.”

 

 

____     24.   A student nurse is learning about the appropriate use of touch when communicating with clients diagnosed with psychiatric disorders. Which statement by the instructor best provides information about this aspect of therapeutic communication?

A.

“Touch carries a different meaning for different individuals.”

B.

“Touch is often used when deescalating volatile client situations.”

C.

“Touch is used to convey interest and warmth.”

D.

“Touch is best combined with empathy when dealing with anxious clients.”

 

 

____     25.   Which nursing statement is a good example of the therapeutic communication technique of focusing?

A.

“Describe one of the best things that happened to you this week.”

B.

“I’m having a difficult time understanding what you mean.”

C.

“Your counseling session is in 30 minutes. I’ll stay with you until then.”

D.

“You mentioned your relationship with your father. Let’s discuss that further.”

 

 

____     26.   After fasting from 10 p.m. the previous evening, a client finds out that the blood test has been canceled. The client swears at the nurse and states, “You are incompetent!” Which is the nurse’s best response?

A.

“Do you believe that I was the cause of your blood test being canceled?”

B.

“I see that you are upset, but I feel uncomfortable when you swear at me.”

C.

“Have you ever thought about ways to express anger appropriately?”

D.

“I’ll give you some space. Let me know if you need anything.”

 

 

____     27.   During a nurse–client interaction, which nursing statement may belittle the client’s feelings and concerns?

A.

“Don’t worry. Everything will be alright.”

B.

“You appear uptight.”

C.

“I notice you have bitten your nails to the quick.”

D.

“You are jumping to conclusions.”

 

 

____     28.   A client on an inpatient psychiatric unit tells the nurse, “I should have died because I am totally worthless.” In order to encourage the client to continue talking about feelings, which should be the nurse’s initial response?

A.

“How would your family feel if you died?”

B.

“You feel worthless now, but that can change with time.”

C.

“You’ve been feeling sad and alone for some time now?”

D.

“It is great that you have come in for help.”

 

 

____     29.   Which nursing response is an example of the nontherapeutic communication block of requesting an explanation?

A.

“Can you tell me why you said that?”

B.

“Keep your chin up. I’ll explain the procedure to you.”

C.

“There is always an explanation for both good and bad behaviors.”

D.

“Are you not understanding the explanation I provided?”

 

 

____     30.   A client states, “You won’t believe what my husband said to me during visiting hours. He has no right treating me that way.” Which nursing response would best assess the situation that occurred?

A.

“Does your husband treat you like this very often?”

B.

“What do you think is your role in this relationship?”

C.

“Why do you think he behaved like that?”

D.

“Describe what happened during your time with your husband.”

 

 

____     31.   Which therapeutic communication technique should the nurse use when communicating with a client who is experiencing auditory hallucinations?

A.

“My sister has the same diagnosis as you and she also hears voices.”

B.

“I understand that the voices seem real to you, but I do not hear any voices.”

C.

“Why not turn up the radio so that the voices are muted.”

D.

“I wouldn’t worry about these voices. The medication will make them disappear.”

 

 

____     32.   Which nursing statement is a good example of the therapeutic communication technique of offering self?

A.

“I think it would be great if you talked about that problem during our next group session.”

B.

“Would you like me to accompany you to your electroconvulsive therapy treatment?”

C.

“I notice that you are offering help to other peers in the milieu.”

D.

“After discharge, would you like to meet me for lunch to review your outpatient progress?”

 

 

____     33.   A client slammed a door on the unit several times. The nurse responds, “You seem angry.” The client states, “I’m not angry.” What therapeutic communication technique has the nurse employed and what defense mechanism is the client unconsciously demonstrating?

A.

Making observations and the defense mechanism of suppression

B.

Verbalizing the implied and the defense mechanism of denial

C.

Reflection and the defense mechanism of projection

D.

Encouraging descriptions of perceptions and the defense mechanism of displacement

 

 

Multiple Response

Identify one or more choices that best complete the statement or answer the question.

 

____     34.   Which of the following individuals are communicating a message? (Select all that apply.)

A.

A mother spanking her son for playing with matches

B.

A teenage boy isolating himself and playing loud music

C.

A biker sporting an eagle tattoo on his biceps

D.

A teenage girl writing, “No one understands me”

E.

A father checking for new e-mail on a regular basis

 

 

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