1. The nurse uses a variety of therapeutic 14. Which of the following pauses for quite some time.
quite some time. Which action by
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?
- Assess the patient's perception of a
problem
2. Which one of the following goals of
therapeutic communication would the nurse
strive to attain first?
- Facilitate the client's expression of
emotions.
3. Which of the following statements is true of
empathy? Select all that apply.
A) It is the ability to place oneself into the
experience of another for a moment in
time.
- 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
4. The nurse ask the patient what he would
like to talk about. This an example of
- broad opening.
5. A patient says, its been so long since I've
been with my family.i Which statement by the
nurse is an example of restating?
- You say you haven't seen your family in a
while
6. The patient expresses frustration that the
doctor does not spend enough time with the
patient when making rounds. The nurse
replies, iThe doctors are very busy. What can
I heip you with? The nurse incorporated which
nontherapeutic technique in this response?
- Defending
7. A patient asks the nurse what she should
do about her icheatingi hushand. The nurse
replies, iYou should divorce him. You deverve
better than that.i The nurse used which
communication technique?
- Giving advice
8. The nurse asks the client what that
experience we like. Which communication
skill is the nurse using?
- Encouraging expression
9. Which of the following are nontherapeutic
techniques? Select all that apply.
- Agreeing
- Challenging
- Giving approval
10. Which of the following statements would
be an empathetic response in the client
interaction?
- You must have been embarrassed when
your father yelled at you in the grocery
11. The nurse says to the client, You become
very anxious when we start talking about your
drinking.i Which of the following techniques is
the nurse
- Making an observation
12. The nurse is sitting down with a patient to
begin a conversation. Which of the following
positions should the nurse take to convey
acceptance of the patient?
- Sitting upright facing the patient with
both feet on the floor
13. A patient states, if feel fine. It's a good
day.i 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?
- You say you feel fine, but you don't really
sound fine.i
statements about verbal and
nonverbal communication skills
is accurate?
- Nonverbal communication is
as important, it not more
than, verbal communication
15. 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
- validate the meaning of the
nonverbal behavior.
16. A nurse has invited a patient
to sit down and have a
conversation. The patient takes
the first seat. The nurse pulls up
another chair to sit with the
patient. Approximately how far
from the patient should the
nurse place her chair?
- 3 to 4 feet
17. The nurse is sitting with a
patient who is crying. After a
few minutes the nurse places
one hand on the patient's
shoulder. Which of the following
best describes the purpose of
the nurse's touch with this
patient?
- To offer comfort and
support for the patient
18. Which of the following is the
best reason that many
psychiatric care units have
policies against clients touching
one another or staff?
- Because some clients with
mental illness have difficulty
knowing when touch is or is
not appropriate.
19. A client has been making
sexual comments when
communicating with the nurse.
The nurse wants to spend some
time talking to the patient while
respecting the patients right to
privacy. Which setting would he
the most appropriate setting for
the nurse to talk with the client?
- In a quiet comer of the
dayroom at least 4 feet away
from others
20. Which of the following
distance zones is acceptable for
people who mutually desire
personal contact
- Intimate
21. The nurse should use clear
concrete messages when
working with patients displaying
which of the following
conditions? Select all that apply.
- Anxiety
-Dementia
- Schizophrenia
22. Which statements are true
of concrete and abstract
messages? Select all that apply
- Abstract messages include
figures of speech that are
difficult to interpret.
- Abstract messages are best
used for persons who are
anxious.
23. The nurse asks the patient,
what is it like for you when you
first knew you had no place to
go? The patient looks down and
the nurse is most therapeutic?
- Sit quietly until the patient responds
24. A patient remarks, iYou know, it's the
same thing every time.l The nurse should
respond hy stating.
- l'm not sure what you mean. I'lease
explain.
25. . A patient states, Right before I got here I
was doing alright. My job was going well, my
wife and I were happy, and we just moved
into a new apartment.I The nurse responds,
You said you and your wife were happy. Tell
me more about that.i This is an example of
which therapeutic technique?
- Exploring
26. A patient is sitting alone, slouched, with
eyes closed. The nurse approaches. Which
statement is most likely to encourage the
patient to talk?
- You look like you are deep in thought.i ils
something wrong?
27. A patient yells, ill the nurses here are so
mean. None of you really care about us! The
most therapeutic response would he, il cannot
allow you to yell like that.
- You seem very irritated.
28. Patient says to the nurse, il wonder what's
playing at the movie tonight i The most
therapeutic response would be,
- Are you telling me you would like to go to
the movies?
29. The client says to the nurse, il have
special powers because I am the mother of
God. I can heal everyone in the hospital.i The
nurse's best response would be,
- it would be unusual for anyone to have
that kind of power
30. 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. You're the
killers. You all killed my mother. She died
before I was born.i The best initial response
by the nurse would be,
- You're having very frightening thoughts
31. The client stated, il was so upset about
my sister ignoring me when I was talking
about being ashamed.i Which nontherapeutic
communication technique would the nurse be
using if the nurse would state, How are your
stress reduction classes going?
- Changing the subject
32. During the mental status assessment, the
client expresses the belief that the CIA is
stalking him and plans to kidnap him. The
best response by the nurse would be,
- What kinds of things have been
happening?
33. The nurse is trying to obtain some
information about family relationships from the
client. Which of the following statements is
best?
- Tell me your feelings about your family
situation
34. A client is fearful and reluctant to talk.
Which of the following techniques is must
effective when trying to engage the client in
interaction?
- Broad opening