1) The nurse asks the client, "If you had three wishes, what would you wish for?". What type of question is the nurse asking? a) Open b) Closed c) Projective d) Presupposition 2) When are close-ended questions most helpful? a) When asking a client to express their feelings b) When attempting to determine specific and needed informaiton c) When the client is crying d) When asking the client to share about their perception 3) The nurse asks, “What is an example of some of the stresses you are under right now?”. What type of question is the nurse asking?hat a) Open b) Closed c) Projective d) Presupposition 4) The nurse is communicating with a client who is emotional and sharing their feelings. What phrase indicates the nurse is accepting what the client is saying? (V & H Table 9.2) a) “I follow what you are saying.” b) "I completely agree." c) "That is not reality." d) "Why did you feel that way?" 5) When presenting reality, the nurse should do which of the following actions? (SATA) a) Indicate what is real b) Argue with the client c) Try to convince the client d) Describe personal perceptions e) Describe the facts of the situation 6) What is the problem with giving advice? (SATA) a) Assumes the nurse knows best and the patient can’t think for oneself. b) Inhibits problem-solving skill development c) Fosters dependency d) Keeps the relationship patient-centered 7) The new nurse asks a client who is having difficulty adjusting to a new medication, “Why did you stop taking your medication?”. How should the nurse preceptor suggest re-wording this question to a more therapeutic technique? a) "Tell me some of the reasons that led up to your not taking your medications.” b) “I’m proud of you for coming into the hospital for help.” c) “You really should have shown up for the medication group.” d) “I understand what you mean about the side effects. Things get worse before they get better.” 8) Why is it not therapeutic to give praise or outright recognition, approval, and attention to a mental health client? a) The client will manipulate the nurse b) The clients motivation may not come from the individual's own conviction c) The client will think they have been healed d) Comments that seem like praise may make other client's jealous 9) The nurse states, “How come you still smoke when your wife has lung cancer?”. What makes this communication nontherapeutic? a) Making value judgments b) Asking excessive questions c) Changing the subject d) Minimizing feelings 10) Which statement made by the nurse demonstrates the best understanding of nonverbal communication? a) "The patient’s verbal and nonverbal communication is often different.” b) "When my patient responds to my question, I check for congruence between verbal and nonverbal communication to help validate the response.” c) “If a patient is slumped in the chair, I can be sure he’s angry or depressed.” d) "It’s easier to interpret verbal communication than to interpret nonverbal communication.” 11) Which nursing statement is an example of reflection? a) "I think this feeling will pass.” b) “So you are saying that life has no meaning.” c) “I’m not sure I understand what you mean.” d) "You look sad." 12) When should a nurse be most alert to the possibility of communication errors resulting in harm to the client? a) Change of shift report b) Admission interviews c) One to One conversation with clients d) Conversations with the client's families 13) During an admission assessment and interview, which channels of information communication should the nurse be monitoring? Select all that appl a) Auditory b) Visual c) Written d) Tactile e) Olfactory 14) What principle about nurse-patient communication should guide a nurse’s fear about “saying the wrong thing” to a patient? a) Patients tend to appreciate a well-meaning person who conveys genuine acceptance, respect, and concern for their situation. b) The patient is more interested in talking to you than listening to what you have to say and so is not likely to be offended. c) Considering the patient’s history, there is little chance that the comment will do any actual harm. d) Most people with a mental illness have by necessity developed a high tolerance of forgiveness. 15) You have been working closely with a patient for the past month. Today, he tells you he is looking forward to meeting with his new psychiatrist but frowns and avoids eye contact while reporting this to you. Which of the following responses would most likely be therapeutic? a) “A new psychiatrist is a chance to start fresh; I’m sure it will go well for you.” b) “You say you look forward to the meeting, but you appear anxious or unhappy.” c) “I notice that you frowned and avoided eye contact just now. Don’t you feel well?” d) "I get the impression you don’t really want to see your psychiatrist—can you tell me why?” 16) Which student behavior is consistent with therapeutic communication? a) Offering your opinion when asked to convey support. b) Summarizing the essence of the patient’s comments in your own words. c) Interrupting periods of silence before they become awkward for the patient. d) Telling the patient he did well when you approve of his statements or actions. 17) James is a 42-year-old patient with schizophrenia. He approaches you as you arrive for your day shift and anxiously reports, “Last night, demons came to my room and tried to rape me.” Which response would be most therapeutic? a) “There are no such things as demons. What you saw were hallucinations.” b) “It is not possible for anyone to enter your room at night. You are safe here.” c) “You seem upset. Please tell me more about what you experienced last night.” d) “That must have been frightening, but we’ll check on you at night and you’ll be safe.” 18) Therapeutic communication is the foundation of a patient-centered interview. Which of the following techniques is not considered therapeutic? a) Restating b) Encouraging description of perception c) Summarizing d) Asking "why" questions 19) Carolina is surprised when her patient does not show up for a regularly scheduled appointment. When contacted, the patient states, “I don’t need to come see you anymore. I have found a therapy app on my phone that I love.” How should Carolina respond to this news? a) “That sounds exciting, would you be willing to visit and show me the app?” b) “At this time, there is no real evidence that the app can replace our therapy.” c) “I am not sure that is a good idea right now; we are so close to progress.” d) “Why would you think that is a better option than meeting with me?” 20) Which of the following is an example of false reassurance (nontherapeutic communication)? (SATA) a) “I wouldn’t worry about that.” b) “Everything will be all right.” c) “You will do just fine, you’ll see.” d) “What do you think could go wrong?” e) “What are you concerned might happen?” f) “What specifically are you worried about?”

Communication Skills & Techniques (V & H Chapter 9)

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