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Psychiatric Mental Health Nursing, 4th

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Test Bank
Elsevier items and derived items © 2008, 2004 by Mosby, Inc., an affiliate of
Elsevier Inc.
4-2
KEY: Nursing Process: Assessment MSC: NCLEX: Psychosocial Integrity

3. Determine the type of communication occurring in the following vignette.


Nurse: Good morning, Mrs. Jones. How did you sleep last night?
Client: I had a lousy night. The person in the room next door kept yelling in his
sleep.
Nurse: I know what you mean; sometimes my husband does that too. I’m
luckier than you because I can shake him and get the shouting to stop. I
guess you probably wouldn’t have felt comfortable doing that with
another client.
Client: No, beside that, who wants to walk around here at night? Still, I think I
would like to meet him. He looked pretty handsome when I saw the
nurse taking him around the unit after he was admitted yesterday.
This interaction should be assessed as:
1.
Therapeutic
2.
Collegial
3.
Social
4.
Intrapersonal

ANS: 3
Although the conversation takes place between the nurse and a client, it is of a social
nature. It is superficial and benefits both parties mutually. No expectation of help
exists. 1. Therapeutic communication promotes client growth and is client-focused.
2. Collegial conversation occurs for the purpose of professional collaboration. 4.
Intrapersonal communication takes place within the individual.

DIF: Cognitive Level: Analysis REF: Page 64 OBJ: 3


TOP: Social Communication KEY: Nursing Process: Assessment
MSC: NCLEX: Psychosocial Integrity

4. A client tells a significant other, “The nurse seems like a real person. She’s
sincere. I
can tell because her words and her facial expression go together to give me the same
message.” The client is describing the quality of:
1.
Empathy
2.
Clarity
3.
Assertiveness
4.
Genuineness

ANS: 4
Genuineness is demonstrated by congruence between verbal and nonverbal
behavior,
interest in the client, and sincere responses. The question scenario does not address
any other communicator traits.

DIF: Cognitive Level: Analysis REF: Page 67 OBJ: 4


TOP: Genuineness KEY: Nursing Process: Assessment
MSC: NCLEX: Psychosocial Integrity

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