Deck 44: Therapeutic Communication Skills

Question 1

When considering the components required of communication, what is the best description of medium or channel?

A) Source of the message
B) Interpreter of the message
C) Response to the message
D) Means of transmitting the message

Answer 1

Means of transmitting the message

Question 2

What therapeutic action helps develop therapeutic communication between the nurse and the client?

A) Having the client discuss concerns with other clients
B) Helping the client to resolve feelings and speak up
C) Talking with the client using direct questions
D) Asking the client's family to participate in client care

Answer 2

Helping the client to resolve feelings and speak up

Question 3

What are the components and the order of their action of the communication process?

A) Verbalizing, receiving, and interpreting of information
B) Rapport, verbal and nonverbal communication of information
C) Giving, verbalizing, and interpreting of information
D) Giving, receiving, and interpreting of information

Answer 3

Giving, receiving, and interpreting of information

Question 4

The client is depressed and does not want to continue with the treatment prescribed.
How can the nurse best help this client at this difficult time?

A) Respect the client's rights and develop rapport.
B) Reassure the client that the treatment is effective.
C) Explain the treatment to the client in medical terms.
D) Ask the client why they are depressed.

Question 5

A nurse is dressing the wound of a client with a pressure wound. Which nursing interaction best demonstrates concern for this client?

A) Explaining the procedure for dressing the wound
B) Informing the client of actions to be taken
C) Telling the client that recovery will be soon
D) Indicating to the client an understanding of the their discomfort

Question 6

Which technique should the nurse caring for an older adult client implement to help develop rapport effectively?

A) Refer to the client as "Grandpa."
B) Be firm when instructing the client.
C) Change the subject when the client indicates disinterest in the treatment.
D) Address the client as "Mr." followed by last name.

Question 7

What is the expected outcome when a nurse uses open-ended questions during the client admission history assessment?

A) In-depth information
B) Simple responses
C) Brief interview
D) Predictable responses

Question 8

Which forms of communication can the nurse use when communicating with a newly admitted client and client's family? Select all that apply.

A) Written materials
B) A picture board
C) Simple phrasing
D) Non-medical terminology
E) Frequent summation of information

Question 9

A nurse entering the room finds the client crying while looking out the window at the rain. What question demonstrates the nurse's understanding of non-verbal communication and its importance?

A) "Would you like me to come back later?"
B) "Is the gloomy weather making you depressed?"
C) "Are you having a bad day or is it just the rainy weather?"
D) "You look very upset. Is there anything you would like to talk about?"

Question 10

Which level of human proxemics would be appropriate for the nurse to assume when completing a head-to-toe assessment on a client?

A) Intimate
B) Personal
C) Social
D) Public

Question 11

A nurse is caring for a client who has developed aphasia. Which communication- focused intervention should the nurse implement?

A) Speak in a loud voice.
B) Write instructions to the client.
C) Establish hand and eye signals.
D) Repeat instructions frequently.

Question 12

Which precaution should the nurse take when accessing client information on the computer?

A) Access data in the presence of a colleague.
B) Keep the screen protected when accessing records.
C) Only share the password with those who work on the unit.
D) Provide only the client's family with detailed information on the record.

Question 13

A nurse is conducting a preliminary assessment on a middle-aged client diagnosed with hypertension. Which action indicates the nurse's attempt to engage in therapeutic communication?

A) Keeping the time frame for the interview to a pre-established length
B) Talking about experiences of other clients
C) Asking only closed-ended questions to the client
D) Encouraging the client to express personal thoughts

Question 14

Which statement expresses a key factor in the effective use of a language interpreter?

A) HIPPA regulations require that a family member who speaks the client's language be present.
B) The nurse should encourage that the interpreter receive training in medical terminology in the client's language.
C) All interpreters must be approved by the facility before becoming involved in a client's care.
D) The interpreter must be an approved friend of the family to assist with the required translation.

Question 15

Which statements present accurate information about nonverbal communication? Select all that apply.

A) It is best used to communicate information
B) It conveys feelings
C) It conveys attitudes
D) It occurs whether we want it to or not
E) It is less dependable that verbal communication

Question 16

What statements accurately describe the value of silence as a therapeutic communication tool? Select all that apply.

A) Provides an opportunity to collect thoughts.
B) Makes continuing the conversation easier.
C) Many clients will respond verbally to silence.
D) Nurses find it easy to cope with client's silence.
E) Allows time to formulate a response to questions.

Question 17

What questions should the nurse can ask the client when attempting to seek clarification? Select all that apply.

A) "Do you still smoke a pack of cigarettes a day?"
B) "Could you explain that to me further?"
C) "Please tell me more about it."
D) "What do you mean by that?"
E) "Are you feeling calmer?"

Question 18

The nurse is working with a young child. What should the nurse consider when communicating with the client?

A) Therapeutic communication techniques work well for children ages 6 to 18.
B) When a child is sick, the child will often regress to an earlier stage of development.
C) Role playing is a threatening communication technique with children.
D) Children use verbal communication rather than drawing pictures to make their
Needs known.

Question 19

Which exchange between nurse and client best illustrates the technique of clarification?

A) CLIENT: "My life has been one frustration after another." NURSE: "Your life has been full of frustrations?"
B) CLIENT: "I'm just a worthless old man, and no one cares about me!" NURSE: "You say that as if you were very angry."
C) CLIENT: "It was really noisy here last night. It was like Grand Central Station." NURSE: "You didn't get a very good night's sleep? What can we do to help you sleep better?"
D) CLIENT: "I was in the hospital 2 years ago and I swore I would never come here again."
NURSE: "You were dissatisfied with your stay?"