Deck 11: Bridges and Barriers in Therapeutic Relationships

Question 1

Which of the following describes proxemics?

A) Study of relationship between message and topic at hand
B) Study of implied meanings within individuals
C) Study of an individual's use of space
D) Study of the emotional personal space boundary

Answer 1

Study of an individual's use of space

Question 2

Stereotypes are learned during

A) exposure to early education.
B) childhood and reinforced by life experiences.
C) limited contact with other cultures.
D) uncomfortable experiences with culturally diverse patients.

Answer 2

childhood and reinforced by life experiences.

Question 3

Which of the following demonstrates the use of the caring process?

A) Respecting the uniqueness of every patient
B) Problem solving for the patient
C) Performing tasks for the patient
D) Communicating expectations of the health care team

Answer 3

Respecting the uniqueness of every patient

Question 4

Which of the following is a barrier to a meaningful effective nurse-patient relationship?

A) Intrusion into personal space
B) Unconditional acceptance
C) Self-awareness
D) Gender differences

Question 5

Which of the following might create a mistrust between patient and nurse?

A) Calming a fearful child by saying that an injection "won't hurt at all."
B) A patient promising a nurse that she'll perform required postsurgical walking twice a day, and then feigning sleep or illness when it is time to do so.
C) Constant requests by a patient to his nurse to run unnecessary errands.
D) A nurse disassociating himself from a patient so much that he fails to provide essential health education.

Question 6

Which of the following is true about trust?

A) The sender feels it.
B) It is difficult to demonstrate professionally.
C) It is an intuitive process.
D) The trusting patient feels comfortable revealing needs.

Question 7

Conveying genuine respect for his patients assists a nurse in doing what?

A) Avoiding the casualness depicted in bad TV shows
B) Building a professional relationship
C) Eliminating the sense of devaluation most nurses begin to feel
D) Avoiding feelings of helplessness and inadequacy

Question 8

Which of the following are included in nursing communication behavior within Level 1?

A) Confronts conflict
B) Uses patient's correct name
C) Maintains eye contact
D) Adopts open posture
E) Responds to cues

Question 9

Which of the following should be achieved first in establishing the nurse-patient relationship?

A) Trust
B) Empathy
C) Mutuality
D) Empowerment

Question 10

The nurse demonstrates an understanding of mutuality when stating to the patient,

A) "Mr. Jones, I think you should go to bed now."
B) "Mr. Jones, I would like you to go to bed now."
C) "Mr. Jones, I don't think you should sit in the chair."
D) "Mr. Jones, I thought we agreed that you would return to bed at this time."

Question 11

Which is an example of patient-centered communication?

A) Patient and nurse spend 15 enjoyable minutes trading stories about their similar childhoods.
B) Nurse goes out of his way to communicate with his patient, explaining every treatment detail and answering questions before the patient even asks them.
C) Patient bombards nurse with her concerns, prompting the nurse to rarely interrupt, instead taking mental notes on what she hears.
D) Patient handles extreme apprehension by constantly talking to his nurse, who allows him to calm himself this way, not interrupting while partially listening.

Question 12

Which of the following is true regarding personal space?

A) Individuals living in a Western culture need 40 square feet of personal space.
B) Direct eye contact causes a need for less space.
C) People need less space when they are anxious.
D) The elderly need more control over their personal space.

Question 13

Which of the following situations is an example of a nurse using empathy?

A) Setting up a rehabilitation placement for a patient addicted to heroin
B) Sitting quietly and holding a patient's hand while she cries following the news that she has inoperable cancer
C) Giving a bed bath to a patient who suffers from a cerebral vascular accident (CVA)
D) Telling a patient all about the fun night at one of the local clubs

Question 14

The nurse knocks on the patient's door and waits for the patient to answer before entering the room. The nurse is demonstrating

A) nonverbal communication skills.
B) respect for the patient's personal space.
C) respect for the patient's confidentiality.
D) respect for the patient's gender difference.

Question 15

In order to reduce clinical bias in nursing practice, the nurse should

A) memorize beliefs held by different cultures.
B) generalize beliefs based on ethnic membership.
C) develop unconditional acceptance.
D) recognize that individuals of the same religion share the same characteristics.

Question 16

Which of the following describes mutual goals?

A) Mutuality is based on patient goals.
B) Mutuality is based on interdisciplinary health team goals.
C) Mutuality is based on the nurse's goals.
D) Mutuality is based on the physician's goals.