Therapeutic Communication Chapter 6

1. 1"Get the stuff from him" is an example of which type of message?

   1. AConcrete
   2. BDirect
   3. CAbstract
   4. DClear
2. 2For various reasons, the mentally ill client may have difficulty understanding and processing vague and abstract communication. Which of the following is an inaccurate depiction of a concrete question?

   1. AThere is no need for interpretation.
   2. BThey elicit more accurate responses.
   3. CThey are easy to understand.
   4. DThey require rephrasing of unclear questions.
3. 3A client diagnosed with Schizophrenia is hallucinating. Which communication technique may the nurse use to redirect the client?

   1. APresenting reality
   2. BMaking observations
   3. CReflecting
   4. DSeeking information
4. 4Which of the following includes the circumstances of parts that clarify the meaning of the content of the message?

   1. ACongruence
   2. BContext
   3. CProxemics
   4. DProcess
5. 5Which of the following is a term used to describe unclear patterns of words that often contain figures of speech that are difficult to interpret?

   1. ACue
   2. BConcrete messages
   3. CMetaphor
   4. DAbstract message
6. 6Both the nurse and the client use cues as a type of communication technique. When the client uses cues to communicate, the nurse must further investigate their meaning. Which type of cue is being used when the client states "Nothing can help me"?

   1. AClear
   2. BIntentional
   3. CCovert
   4. DOvert
7. 7Which zone is an acceptable distance between a speaker and an audience?

   1. APersonal
   2. BPublic
   3. CSocial
   4. DIntimate
8. 8It is the nurse's responsibility to establish a therapeutic relationship with the client. Which of the following is an accepting body position for therapeutic communication?

   1. ALegs crossed
   2. BHands at side of body
   3. CArms folded against the chest
   4. DLack of eye contact
9. 9Which communication technique involves expressing uncertainty about the reality of the client's perception?

   1. ARestating
   2. BSilence
   3. CVoicing doubt
   4. DReflecting
10. 10A client who is verbally expressing angry feelings while smiling is exhibiting which type of facial expression?

    1. AExpressive
    2. BConfusing
    3. CEmotionless
    4. DImpassive

11. 11The nurse places her arm around the shoulder of a distressed client. Which type of touch, according to Knapp, is used in greeting, such as a handshake?

    1. ASocial-polite
    2. Bfunctional-professional
    3. Clove-intimacy
    4. Dfriendship-warmth
12. 12The nurse indicates interest in and acceptance of the client by all of the following behaviors except

    1. AFacing the client
    2. BSlightly leaning toward the client
    3. CSitting behind a desk
    4. DMaintaining a nonthreatening eye contact
13. 13Which therapeutic communication technique is being utilized when the nurse asks the client "Is there something you'd like to talk about"?

    1. ABroad openings
    2. BExploring
    3. CAccepting
    4. DFocusing
14. 14Which of the following terms is used to describe a phrase the describes an object or situation by comparing it to something else similar?

    1. AProverb
    2. BOvert cue
    3. CCliche
    4. DMetaphor
15. 15Nancy is the nurse caring for a young mother who states that she is unhappy with her husband because he spends too much time with his friends during football season. When Nancy states that she agrees with the client that she is "right" in her assumption that her husband is inappropriately inattentive, which non-therapeutic communication technique is this an example of?

    1. AGiving approval
    2. BVoicing doubt
    3. CSilence
    4. DSummarizing
16. 16High-pitched, rapid delivery of a message often indicates which of the following?

    1. ADepression
    2. BAnxiety
    3. CConfusion
    4. DReminiscing
17. 17Which question should be avoided because it may be perceived as criticism by the client?

    1. AWhat
    2. BWhere
    3. CWhy
    4. DHow
18. 18According to Peplau, which of the following would not be considered a goal of therapeutic communication?

    1. AEstablishing rapport
    2. BActive listening
    3. CGuiding the client to problem solving
    4. DSelf-exploration of feelings by the nurse
19. 19When the nurse states "Tell me more about that", the nurse is utilizing which communication technique?

    1. AExploring
    2. BAccepting
    3. CFormulating a plan of action
    4. DFocusing
20. 20A client who is Schizophrenic is catatonic and has a mask-like face. Which of the following facial expressions is being exhibited?

    1. AConfusing
    2. BExpressive
    3. CIncongruent
    4. DImpassive
21. 21The nurse is standing 4 feet away, conversing with a client. Which zone is a distance that is comfortable between family and friends who are talking?

    1. APublic
    2. BIntimate
    3. CSocial
    4. DPersonal
22. 22Which of the following would be the least optimal in terms of on environment for therapeutic communication for a client who has difficulty maintaining boundaries?

    1. AA conference room
    2. BAn interview room
    3. CThe end of a hall
    4. DThe client's room
23. 23Which communication technique involves giving encouragement to the client, enabling continuance of the conversation?

    1. AExploring
    2. BGeneral leads
    3. CAccepting
    4. DFocusing
24. 24The nurse is standing 4 feet away from the client with her arms crossed. At what space is the therapeutic communication interaction most comfortable within most cultural situations?

    1. A3-6 feet
    2. B0-18 inches
    3. C12-25 feet
    4. D18-36 inches
25. 25Which verbal cue refers to accents on words or phrases that highlight the subject or give insight on the topic?

    1. ATone
    2. BIntensity
    3. CPitch
    4. DEmphasis
26. 26A charge nurse is conducting a class on therapeutic communication to a group of newly licensed nurses. Which of the following responses by the newly licensed nurse requires additional teaching regarding nonverbal communication?

    1. APosture
    2. BIntonation
    3. CPersonal space
    4. DEye contact
27. 27When a family asks a nurse for reassurance about a client's condition, which of the following is an appropriate response?

    1. A"I think your son is getting better. What have you noticed?"
    2. B"I'm sure everything will be okay. It just takes time to heal."
    3. C"I'm not sure what's wrong. Have you asked the doctor about your concerns?"
    4. D"I understand you're concerned. Let's discuss what concerns you specifically."
28. 28A nurse is communicating with a newly admitted client. Which of the following is a barrier to therapeutic communication?

    1. AOffering advice
    2. BReflecting meaning
    3. CListening attentively
    4. DGiving information
29. 29A nurse is conducting therapy with several clients and their families. Effective communication with clients and families is based on

    1. ADiscussing in-depth topics with which the client feels comfortable
    2. BUsing silence to avoid unpleasant or difficult topics
    3. CAttending to verbal and nonverbal behaviors
    4. DRequiring the client and family to ask for feedback
30. 30A nurse is communicating with a client in the acute mental health facility. The client states, "I can't sleep. I stay up all night." The nurse responds, "You are having difficulty sleeping?" Which of the following therapeutic communication techniques is the nurse demonstrating?

    1. AOffering general leads
    2. BSummarizing
    3. CFocusing
    4. DRestating
31. 31Client: "I had an accident."
    Nurse: "Tell me about your accident."
    This is an example of which therapeutic communication technique?

    1. AMaking observations
    2. BOffering self
    3. CGeneral lead
    4. DReflection
32. 32"Earlier today you said you were concerned that your son was still upset with you. When I stopped by your room an hour ago, you and your son seemed relaxed and smiling as you spoke to each other. How did things go between the two of you?"
    This is an example of which therapeutic communication technique?

    1. AConsensual validation
    2. BEncouraging comparison
    3. CAccepting
    4. DGeneral lead
33. 33"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're wrong when you say she is noisy and uncaring."
    This example reflects which non-therapeutic communication technique?

    1. ARequesting an explanation
    2. BDefending
    3. CDisagreeing
    4. DAdvising
34. 34"How does Jerry make you upset?" is a non-therapeutic communication technique because it

    1. AGives a literal response
    2. BIndicates an external source of the emotion
    3. CInterprets what the client is saying
    4. DIs just another stereotyped comment
35. 35Client: "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 non-therapeutic response because the nurse has

    1. AUsed testing to evaluate the client's insight
    2. BChanged the topic
    3. CExhibited an egocentric focus
    4. DAdvised the client what to do
36. 36When 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?

    1. A"Joe who?"
    2. B"Tell me about Joe."
    3. C"Tell me about you and Joe."
    4. D"Joe, you mean that blond guy with the dark blue eyes?"
37. 37Which of the following is a concrete message?

    1. A"Help me put this pile of books on Marsha's desk."
    2. B"Get this out of here."
    3. C"When is she coming home?"
    4. D"They said it is too early to get in."
38. 38The advantages of assertive communication are: (select all that apply)

    1. AAll persons' rights are respected.
    2. BIt gains approval from others.
    3. CIt protects the speaker from being exploited.
    4. DThe speaker can say "no" to another person's request.
    5. EThe speaker can safely express thoughts and feelings.
    6. FThe speaker will get his or her needs met.
39. 39Which of the following are examples of a therapeutic communication response? (Select all that apply)

    1. A"Don't worry - everybody has a bad day occasionally."
    2. B"I don't think your mother will appreciate that behavior."
    3. C"Let's talk about something else."
    4. D"Tell me more about your discharge plans."
    5. E"That sounds like a great idea."
    6. F"What might you do the next time you're feeling angry?"

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Quiz - Therapeutic Communication Mental Health Quiz on Therapeutic Communication Chapter 6, created by Mary Theresa Can on 26/03/2016.

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