What is the most favorable seating arrangement of the nurse and the client in an interview *?

*** 1. You have been working closely with a patient for the past month. Today he tells you he is looking forward to meeting with his new psychiatrist but frowns and avoids eye contact while reporting this to you. Which of the following responses would most likely be therapeutic?a. “A new psychiatrist is a chance to start fresh; I’m sure it will go well for you.”b. “You say you look forward to the meeting, but you appear anxious or unhappy.”c. “I notice that you frowned and avoided eye contact just now; don’t you feel well?”d. “I get the impression you don’t really want to see your psychiatrist—can you tell me why?”

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*** 1. You have been working closely with a patient for the past month. Today he tells you he is looking forward to meeting with his new psychiatrist but frowns and avoids eye contact while reporting this to you. Which of the following responses would most likely be therapeutic?a. “A new psychiatrist is a chance to start fresh; I’m sure it will go well for you.”b. “You say you look forward to the meeting, but you appear anxious or unhappy.”c. “I notice that you frowned and avoided eye contact just now; don’t you feel well?”d. “I get the impression you don’t really want to see your psychiatrist—can you tell me why?”
b. “You say you look forward to the meeting, but you appear anxious or unhappy.”CHAPTER 9 Communication and the clinical interviewChapter Review7th editionKaitlin G.
*** 2. Which student behavior is consistent with therapeutic communication?a. Offering your opinion when asked in order to convey support.b. Summarizing the essence of the patient’s comments in your own words. c. Interrupting periods of silence before they become awkward for the patient.d. Telling the patient he did well when you approve of his statements or actions.
b. Summarizing the essence of the patient’s comments in your own words.CHAPTER 9 Communication and the clinical interviewChapter Review7th editionKaitlin G.
*** 3. Which statement about nonverbal behavior is accurate?a. A calm expression means that the patient is experiencing low levels of anxiety.b. Patients respond more consistently to therapeutic touch than to verbal interventions.c. The meaning of nonverbal behaviors varies with cultural and individual differences.d. Eye contact is a reliable measure of the patient’s degree of attentiveness and engagement.
c. The meaning of nonverbal behaviors varies with cultural and individual differences.CHAPTER 9 Communication and the clinical interviewChapter Review7th editionAmanda Z.
*** 4. A nurse stops in to interview a patient on a medical unit and finds the patient lying supine in her bed with the head elevated at 10 degrees. Which initial response(s) would most enhance the chances of achieving a therapeutic interaction? Select all that apply.a. Apologize for the differential in height and proceed while standing to avoid delay.b. If permitted, raise the head of the bed and, with the patient’s permission, sit on the bed.c. If permitted, raise the head of the bed to approximate the nurse’s height while standing.d. Sit in whatever chair is available in the room to convey informality and increase comfort.e. Locate a chair or stool that would place the nurse at approximately the level of the patient.f. Remain standing and proceed so as not to create distraction by altering the arrangements.
e. Locate a chair or stool that would place the nurse at approximately the level of the patient.CHAPTER 9 Communication and the clinical interviewChapter Review7th editionAmanda Z.
*** 5. James is a 42-year-old patient with schizophrenia. He approaches you as you arrive for day shift and anxiously reports, “Last night demons came to my room and tried to rape me.” Which response would be most therapeutic?a. “There are no such things as demons; what you saw were hallucinations.”b. “It is not possible for anyone to enter your room at night; you are safe here.”c. “You seem very upset; please tell me more about what you experienced last night.”d. “That must have been very frightening, but we’ll check on you at night and you’ll be safe.”
c. “You seem very upset; please tell me more about what you experienced last night.”CHAPTER 9 Communication and the clinical interviewChapter Review7th editionAmanda Z.
*** 1. Of the following environments, which would be most conducive to a therapeutic session?A. The nurses' stationB. A table in the coffee shopC. A quiet section of the day roomD. The utility room
C. A quiet section of the day roomOf the options provided, a quiet corner of the day room offers the safest, quietest, most private environment for a therapeutic encounter.CHAPTER 9 Communication and the clinical interviewPre-Test7th editionBethany M.
*** 2. Which communication techniques should the nurse use with a client who has been identified as having difficulty expressing thoughts and feelings?A. Using emotionally charged words and gesturesB. Offering opinions and avoiding periods of silenceC. Asking closed-ended questions requiring "yes" or "no" answersD. Asking open-ended questions and seeking clarification
D. Asking open-ended questions and seeking clarificationOpen-ended questions give the client the widest possible latitude in answering. Also, the client can take the lead in the interview. Seeking clarification helps the client clarify his or her own thoughts and promotes mutual understanding.CHAPTER 9 Communication and the clinical interviewPre-Test7th editionBethany M.
*** 3. What therapeutic communication technique is the nurse using by asking a newly admitted patient, "Can you tell me what was happening to you that led to your being hospitalized here?"A. Using a minimal encouragerB. Using an open-ended questionC. ParaphrasingD. Reflecting
B. Using an open-ended questionOpen-ended questions require more than one-word answers.CHAPTER 9 Communication and the clinical interviewPre-Test7th editionBethany M.
*** 4. The content and direction of the clinical interview is determined by theA. nurse.B. client.C. physician.D. health care team.
B. client.CHAPTER 9 Communication and the clinical interviewPre-Test7th editionBethany M.
5. The preferred seating arrangement for a nurse-client interview is withA. the nurse behind a desk and the client in a chair in front of the desk.B. the nurse and client sitting at a 90-degree angle to each other.C. the client sitting in a chair and the nurse standing a few feet away.D. the nurse and client sitting facing each other.
B. the nurse and client sitting at a 90-degree angle to each other.This arrangement allows the nurse to observe the client but places no barriers between the principals. The two are at the same height, so neither is in an inferior position. Face-to-face seating is a more confrontational arrangement and therefore more anxiety producing.CHAPTER 9 Communication and the clinical interviewPre-Test7th edition
6. What is the focus during clinical supervision?A. The nurse's behavior in the nurse-client relationshipB. Analysis of the client's motivation for transferencesC. Devising alternative strategies for client growthD. Assisting the client to develop increased independence
A. The nurse's behavior in the nurse-client relationshipClinical supervision helps the nurse look at his or her own behavior and determine more effective approaches to working with clients.CHAPTER 9 Communication and the clinical interviewPre-Test7th edition
7. Two main principles that can guide the communication process during the nurse-client interview areA. clarity and giving recognition.B. personal and environmental factors.C. passive listening and cultural caution. (adsbygoogle = window.adsbygoogle || []).push({}); D. interpreting and speculating on the client's meaning.
A. clarity and giving recognition.Clarity refers to mutual understanding of communication, and giving recognition indicates awareness of change and personal efforts. Both are desirable.CHAPTER 9 Communication and the clinical interviewPre-Test7th edition
*** 8. When considering the interaction between verbal and nonverbal communication, what is the best word to complete this analogy: Verbal communication relates to content as nonverbal communication relates toA. touch.B. conflict.C. process.D. double messages.
C. process.The verbal message is sometimes referred to as the content of the message, and the nonverbal behavior is called the process of the message.CHAPTER 9 Communication and the clinical interviewPre-Test7th editionBen J.
9. A nurse should perceive an intense, highly emotional communication style as culturally appropriate for a client who is A. African American.B. Hispanic American.C. Asian American.D. British American.
B. Hispanic American.Highly emotional verbal communication accompanied by dramatic body language when describing emotional problems is a style associated with persons of Hispanic culture. French and Italian Americans also demonstrate animated facial expressions and expressive hand gestures during communication.CHAPTER 9 Communication and the clinical interviewPre-Test7th edition
10. When determining the appropriateness of touching a psychiatric client, the nurse shouldA. follow his or her instincts concerning touching individual clients.B. touch the elderly but avoid touching the young.C. check the facility's policy on the acceptability of touch.D. perceive touch as a gesture of warmth and friendship that fosters a relationship.
C. check the facility's policy on the acceptability of touch.Students are urged to check the policy manual of their facilities, because some facilities have a no-touch policy, particularly with adolescents and children who may have experienced inappropriate touch and would not know how to interpret the touch of the health care worker.CHAPTER 9 Communication and the clinical interviewPre-Test7th edition
*** 1. When the client sits about 5 feet away from the nurse during the assessment interview, the nurse interprets that the client views the nurse as aA. safe person to interact with.B. new friend.C. stranger.D. peer.
C. stranger.Social distance (4-12 feet) is reserved for strangers or acquaintances. This is often the client's perception of staff during the initial phase of relationship-building.CHAPTER 9 Communication and the clinical interviewPost-Test7th editionBen J.
*** 2. When discussing her husband, a client shares that "I would be better off alone. At least I would be able to come and go as I please and not have to be interrogated all the time." What therapeutic communication technique is the nurse using when responding, "Are you saying that things would be better if you left your husband?"A. FocusingB. RestatingC. ReflectionD. Clarification
D. ClarificationClarification verifies the nurse's interpretation of the client's message.CHAPTER 9 Communication and the clinical interviewPost-Test7th editionAmanda Z.
*** 3. During a therapeutic encounter, the nurse makes an effort to ensure the use of two congruent levels of communication. What is the rationale for this?A. The mental image of a word may not be the same for both nurse and client.B. One statement may simultaneously convey conflicting messages.C. Many of the client's remarks are no more than social phrases.D. Content of messages may be contradicted by process.
D. Content of messages may be contradicted by process.Verbal messages may be contradicted by the nonverbal message that is conveyed. The nonverbal message is usually more consistent with the client's feelings than the verbal message.CHAPTER 9 Communication and the clinical interviewPost-Test7th editionAmy S.
*** 4. During a therapeutic encounter the nurse remarks to a client, "I noticed anger in your voice when you spoke of your father. Tell me about that." What communication techniques is the nurse using?A. Giving information and encouraging evaluationB. Presenting reality and encouraging planningC. Clarifying and suggesting collaborationD. Reflecting and exploring
D. Reflecting and exploringReflecting conveys the nurse's observations of the client when a sensitive issue is being discussed. Exploring seeks to examine a certain idea more fully.CHAPTER 9 Communication and the clinical interviewPost-Test7th editionHuyen T.
*** 5. After a client discusses her relationship with her father, the nurse asks, "Tell me if I'm correct that you feel dominated and controlled by him?" The nurse's purpose is toA. elicit more information.B. encourage evaluation.C. verbalize the implied.D. clarify message.
D. clarify message.Clarification helps the nurse understand and correctly interpret the client's message. It gives the client the opportunity to correct misconceptions.CHAPTER 9 Communication and the clinical interviewPost-Test7th editionAmy S.
*** 6. Which statement by the nurse reflects the process occurring in the clinical interview?A. "Give me an example of something your wife does that 'drives you nuts.'"B. "What makes you think your doctor will give you a pass?"C. "When is your child custody hearing going to be held?"D. "You are frowning. What are you feeling?"
D. "You are frowning. What are you feeling?"Process refers to nonverbal behavior. Nonverbal behavior is often a more accurate gauge of client feelings than what is being verbalized.CHAPTER 9 Communication and the clinical interviewPost-Test7th editionHuyen T.
*** 7. What is the most helpful nursing response to a client who reports thinking of dropping out of college because it is too stressful?A. "Don't let them beat you! Fight back!"B. "School is stressful. What do you find most stressful?"C. "I know just what you are going through. The stress is terrible."D. "You have only two more semesters. You will be glad if you stick it out."
B. "School is stressful. What do you find most stressful?"This response acknowledges the speaker's perception of school as difficult and asks for further information. This response suggests the nurse is listening actively and is concerned.CHAPTER 9 Communication and the clinical interviewPost-Test7th editionAlex S.
*** 8. Recent immigrants to the United States from which country would find direct eye contact a positive therapeutic technique?A. KoreaB. Mexico (adsbygoogle = window.adsbygoogle || []).push({}); C. JapanD. Germany
D. GermanyEye contact conveys interest to most northern European individuals. Eye contact would be considered intrusive to the others.CHAPTER 9 Communication and the clinical interviewPost-Test7th editionAlex S.
9. With which client should the nurse make the assessment that not using touch would probably be in the client's best interests?A. A recent immigrant from RussiaB. A deeply depressed clientC. A Chinese American clientD. A tearful client reporting pain
C. A Chinese American clientChinese Americans may not like to be touched by strangers.CHAPTER 9 Communication and the clinical interviewPost-Test7th edition
10. During a clinical interview the client falls silent after disclosing that she was sexually abused as a child. The nurse shouldA. quickly break the silence and encourage the client to continue.B. reassure the client that the abuse was not her fault.C. reach out and gently touch the client's arm.D. allow the client to break the silence.
D. allow the client to break the silence.Silence is not a "bad" thing. It gives the speaker time to think through a point or collect his or her thoughts.CHAPTER 9 Communication and the clinical interviewPost-Test7th edition
1. Which of the following statements indicate a nontherapeutic communication technique? (select all that apply):Select all that apply.a. “Why didn’t you attend group this morning?”b. “From what you have said, you have great difficulty sleeping at night.”c. “What did your boyfriend do that made you leave? Are you angry at him? Did he abuse you in some way?”d. “If I were you, I would quit the stressful job and find something else.”e. “I’m really proud of you for the way you stood up to your brother when he visited today.”f. “You mentioned that you have never had friends. Tell me more about that.”g. “It sounds like you have been having a very hard time at home lately.”
a. “Why didn’t you attend group this morning?”c. “What did your boyfriend do that made you leave? Are you angry at him? Did he abuse you in some way?”d. “If I were you, I would quit the stressful job and find something else.” e. “I’m really proud of you for the way you stood up to your brother when he visited today.”All these options reflect the nontherapeutic techniques of (in order) asking “why” questions; using excessive questioning; giving advice; and giving approval. The other options describe therapeutic techniques of restating, exploring, and reflecting.CHAPTER 9 Communication and the clinical interviewEvolve Review Questions7th edition
*** 2. You enter the room of Andrea, a patient on the psychiatric unit. Andrea is sitting with her arms crossed over her chest and her left leg rapidly moving up and down, and she has an angry expression on her face. When you approach her, she states harshly, “I’m fine! Everything’s great.” Which of the following is true regarding verbal and nonverbal communication? a. Verbal communication is always more accurate than nonverbal communication.b. Verbal communication is more straightforward, whereas nonverbal communication does not portray what a person is thinking.c. Nonverbal and verbal communication may be different; nurses must pay attention to the nonverbal communication being presented to get an accurate message.d. Nonverbal communication is about 10% of all communication, and verbal communication is about 90%.
c. Nonverbal and verbal communication may be different; nurses must pay attention to the nonverbal communication being presented to get an accurate message.Communication is roughly 10% verbal and 90% nonverbal, so nurses must pay close attention to nonverbal cues to accurately assess what the patient is really feeling. The other options are all untrue of verbal and nonverbal communication and are actually the opposite of what is believed of communication.CHAPTER 9 Communication and the clinical interviewEvolve Review Questions7th editionAlex S.
3. You enter the room of Andrea, a patient on the psychiatric unit. Andrea is sitting with her arms crossed over her chest and her left leg rapidly moving up and down, and she has an angry expression on her face. When you approach her, she states harshly, “I’m fine! Everything’s great.” Which of the following responses would be therapeutic? a. “Okay, but we are all here to help you, so come get one of the staff if you need to talk.”b. “I’m glad everything is good. I am going to give you your schedule for the day and we can discuss how the groups are going.”c. “I don’t believe you. You are not being truthful with me.”d. “It looks as though you are saying one thing but feeling another. Can you tell me what may be upsetting you?”
d. “It looks as though you are saying one thing but feeling another. Can you tell me what may be upsetting you?”This response uses the therapeutic technique of clarifying; it addresses the difference between the patient’s verbal and nonverbal communication and encourages sharing of feelings. The other options do not address the patient’s obvious distress or are confrontational and judgmental.CHAPTER 9 Communication and the clinical interviewEvolve Review Questions7th edition
4. You are caring for William, a 55-year-old patient who recently came to the United States from England on a work visa. He was admitted for severe depression following the death of his wife from cancer 2 weeks ago. While telling you about his wife’s death and how it has affected him, William shows little emotion. Which of the following explanations is most plausible? a. William did not love his wife.b. William’s response may reflect cultural norms.c. William’s response may reflect guilt.d. William may have an antisocial personality, which would explain his lack of feeling.
b. William’s response may reflect cultural norms.Showing little emotion while in distress may be a cultural phenomenon. Some cultures, such as the British and German cultures, tend to value highly the concept of self-control and may show little facial emotion in the presence of emotional turmoil. There is no evidence to suggest the patient did not love his wife, and this would be jumping to conclusions. There is also nothing in the scenario to suggest guilt and there is no evidence in the scenario to suggest antisocial personality disorder.CHAPTER 9 Communication and the clinical interviewEvolve Review Questions7th edition
5. You are admitting 32-year-old Louisa to the psychiatric unit. You pull up your chair and sit close to the patient, with your knees almost touching hers, and lean in close to her to speak. Louisa becomes visibly flustered and gets up and leaves the room. What is the most likely explanation for Louisa’s behavior? a. You have violated Louisa’s personal space by physically being too close.b. Louisa has issues with sharing personal information.c. You have not made the patient feel comfortable by explaining the purpose of the admission interview.d. Louisa is responding to the voices in her head telling her to leave.
a. You have violated Louisa’s personal space by physically being too close.By sitting and leaning in so closely, you have entered into intimate space (0 to 18 inches), rather than social distance and the patient may feel uncomfortable with being so close to someone she does not know. All the other options lack evidence and jump to conclusions regarding the patient’s behavior.CHAPTER 9 Communication and the clinical interviewEvolve Review Questions7th edition
1. When preparing to hold an admission interview with a client, the nurse pulls up a chair and sits facing the client with his or her knees almost touching. When the nurse leans in close to speak, the client becomes visibly flustered and gets up and leaves the room. What is the most likely explanation for client’s behavior? a. The nurse violated the client’s personal space by physically being too close.b. The client has issues with sharing personal information.c. The nurse failed to explain the purpose of the admission interview.d. The client is responding to the voices by ending the conversation.
a. The nurse violated the client’s personal space by physically being too close.By sitting and leaning in so closely, the nurse has entered into intimate space (0 to 18 inches), rather than social distance. This has likely made the patient may feel uncomfortable with being so close to someone unknown to them. All the other options lack evidence and jump to conclusions regarding the patient’s behavior.CHAPTER 9 Therapeutic CommunicationEvolve Review Questions8th Edition
2. A patient is presenting with behaviors that indicate anger. When approached, the patient states harshly, “I’m fine! Everything’s great.” Which response should the nurse provide to the patient? a. “Okay, but we are all here to help you, so come get one of the staff if you need to talk.”b. “I’m glad everything is good. I am going to give you your schedule for the day and we can discuss how the groups are going.”c. “I don’t believe you. You are not being truthful with me.”d. “It looks as though you are saying one thing but feeling another. Can you tell me what may be upsetting you?”
d. “It looks as though you are saying one thing but feeling another. Can you tell me what may be upsetting you?”This response uses the therapeutic technique of clarifying; it addresses the difference between the patient’s verbal and nonverbal communication and encourages sharing of feelings. The other options do not address the patient’s obvious distress or are confrontational and judgmental. None of the other options provides this support.CHAPTER 9 Therapeutic CommunicationEvolve Review Questions8th Edition
3. A patient is sitting with arms crossed over his or her chest, his or her left leg is rapidly moving up and down, and there is an angry expression on his or her face. When approached by the nurse, the patient states harshly, “I’m fine! Everything’s great.” Which statement related to communication should the nurse focus on when working with this patient? a. Verbal communication is always more accurate than nonverbal communication.b. Verbal communication is more straightforward, whereas nonverbal communication does not portray what a person is thinking.c. Nonverbal and verbal communication may be different; nurses must pay attention to the nonverbal communication being presented to get an accurate message. (adsbygoogle = window.adsbygoogle || []).push({}); d. Nonverbal communication is about 10% of all communication, and verbal communication is about 90%.
c. Nonverbal and verbal communication may be different; nurses must pay attention to the nonverbal communication being presented to get an accurate message.Communication is roughly 10% verbal and 90% nonverbal, so nurses must pay close attention to nonverbal cues to accurately assess what the patient is really feeling. The other options are all untrue of verbal and nonverbal communication and are actually the opposite of what is believed of communication.CHAPTER 9 Therapeutic CommunicationEvolve Review Questions8th Edition
4. A 55-year-old patient recently came to the United States from England on a work visa. The patient was admitted for severe depression following the death of a life partner weeks ago. While discussing the death and its effects the patient shows little emotion. Which of the following explanations is most plausible for this lack of emotion? a. The patient in denial.b. The response may reflect cultural norms.c. The response may reflect personal guilt.d. The patient may have an antisocial personality.
b. The response may reflect cultural norms.Showing little emotion while in distress may be a cultural phenomenon. Some cultures, such as the British and German cultures, tend to value highly the concept of self-control and may show little facial emotion in the presence of emotional turmoil. There is no evidence to suggest the patient’s lack of emotion is a result of any of the other options.CHAPTER 9 Therapeutic CommunicationEvolve Review Questions8th Edition
5. Which of the following statements represent a nontherapeutic communication technique?Select all that apply.a. “Why didn’t you attend group this morning?”b. “From what you have said, you have great difficulty sleeping at night.”c. “What did your boyfriend do that made you leave? Are you angry at him? Did he abuse you in some way?”d. “If I were you, I would quit the stressful job and find something else.”e. “I’m really proud of you for the way you stood up to your brother when he visited today.”f. “You mentioned that you have never had friends. Tell me more about that.”g. “It sounds like you have been having a very hard time at home lately.”
a. “Why didn’t you attend group this morning?”c. “What did your boyfriend do that made you leave? Are you angry at him? Did he abuse you in some way?”d. “If I were you, I would quit the stressful job and find something else.”e. “I’m really proud of you for the way you stood up to your brother when he visited today.”All these options reflect the nontherapeutic techniques of (in order) asking “why” questions; using excessive questioning; giving advice; and giving approval. The other options describe therapeutic techniques of restating, exploring, and reflecting.CHAPTER 9 Therapeutic CommunicationEvolve Review Questions8th Edition
1. Recent immigrants to the United States from which country would find direct eye contact a positive therapeutic technique?A. KoreaB. MexicoC. JapanD. Germany
D. GermanyEye contact conveys interest to most northern European individuals. Eye contact would be considered intrusive to the others.CHAPTER 9 Therapeutic CommunicationPre-Test8th Edition
2. Of the following environments, which would be most conducive to a therapeutic session? a. The nurses’ stationb. A table in the coffee shopc. A quiet section of the day roomd. The utility room
c. A quiet section of the day roomOf the options provided, a quiet corner of the day room offers the safest, quietest, most private environment for a therapeutic encounter. None of the other options offer these characteristics.CHAPTER 9 Therapeutic CommunicationPre-Test8th Edition
3. What therapeutic communication technique is the nurse using by asking a newly admitted patient, “Please tell me what was happening that led to your hospitalization here?” a. Using a minimal encouragerb. Using an open-ended questionc. Paraphrasingd. Reflecting
b. Using an open-ended questionOpen-ended questions require more than one-word answers. This question encourages the patient to provide a narrative concerning the circumstances surrounding the need for admission.CHAPTER 9 Therapeutic CommunicationPre-Test8th Edition
4. The client makes the decision to sit about 5 feet away from the nurse during the assessment interview. The nurse can accurately make what assumption about the client’s perception of the nurse? a. The nurse is a safe person to interact with.b. The nurse is a new friend.c. They view the nurse as a stranger.d. They view the nurse as a peer.
c. They view the nurse as a stranger.Social distance (4-12 feet) is reserved for strangers or acquaintances. This is often the client’s perception of staff during the initial phase of relationship-building. This behavior is not associated with any perception provided by any other option.CHAPTER 9 Therapeutic CommunicationPre-Test8th Edition
5. Which communication techniques should the nurse use with a client who has been identified as having difficulty expressing thoughts and feelings? a. Using emotionally charged words and gesturesb. Offering opinions and avoiding periods of silencec. Asking closed-ended questions requiring “yes” or “no” answersd. Asking open-ended questions and seeking clarification
d. Asking open-ended questions and seeking clarificationOpen-ended questions give the client the widest possible latitude in answering. Also, the client can take the lead in the interview. Seeking clarification helps the client clarify his or her own thoughts and promotes mutual understanding. None of the options provide this support.CHAPTER 9 Therapeutic CommunicationPre-Test8th Edition
6. The preferred seating arrangement for a nurse–client interview should incorporate which positioning? a. The nurse behind a desk and the client in a chair in front of the desk.b. The nurse and client sitting at a 90-degree angle to each other.c. The client sitting in a chair and the nurse standing a few feet away.d. The nurse and client sitting facing each other.
b. The nurse and client sitting at a 90-degree angle to each other.This arrangement allows the nurse to observe the client but places no barriers between the principals. The two are at the same height, so neither is in an inferior position. Face-to-face seating is a more confrontational arrangement and therefore more anxiety producing.CHAPTER 9 Therapeutic CommunicationPre-Test8th Edition
7. What is the focus during clinical supervision? a. The nurse’s behavior in the nurse–client relationshipb. Analysis of the client’s motivation for transferencesc. Devising alternative strategies for client growthd. Assisting the client to develop increased independence
a. The nurse’s behavior in the nurse–client relationshipClinical supervision helps the nurse look at his or her own behavior and determine more effective approaches to working with clients. None of the other options are associated with clinical supervision.CHAPTER 9 Therapeutic CommunicationPre-Test8th Edition
1. During a clinical interview the client falls silent after disclosing that she was sexually abused as a child. The nurse should engage in which intervention in response to the client’s silence? a. Quickly break the silence and encourage the client to continue.b. Reassure the client that the abuse was not her fault.c. Reach out and gently touch the client’s arm.d. Allow the client to break the silence. (adsbygoogle = window.adsbygoogle || []).push({});
d. Allow the client to break the silence.Silence is not a “bad” thing. It gives the speaker time to think through a point or collect his or her thoughts. None of the other options will assist with further communication with this client.CHAPTER 9 Therapeutic CommunicationPost-Test8th Edition
2. During a therapeutic encounter the nurse remarks to a client, “I noticed anger in your voice when you spoke of your father. Tell me about that.” What communication techniques is the nurse using? a. Giving information and encouraging evaluationb. Presenting reality and encouraging planningc. Clarifying and suggesting collaborationd. Reflecting and exploring
d. Reflecting and exploringReflecting conveys the nurse’s observations of the client when a sensitive issue is being discussed. Exploring seeks to examine a certain idea more fully.CHAPTER 9 Therapeutic CommunicationPost-Test8th Edition
3. With which client should the nurse make the assessment that not using touch would probably be in the client’s best interests? a. A recent immigrant from Russiab. A deeply depressed clientc. A Chinese American clientd. A tearful client reporting pain
c. A Chinese American clientChinese Americans may not like to be touched by strangers since it is a cultural characteristic.CHAPTER 9 Therapeutic CommunicationPost-Test8th Edition
4. After a client discusses his/her relationship with his/her father, the nurse asks, “Tell me if I’m correct that you feel dominated and controlled by him?” What is the purpose of the nurse’s question? a. Eliciting more informationb. Encouraging evaluationc. Verbalizing the impliedd. Clarifying the message
d. Clarifying the messageClarification helps the nurse understand and correctly interpret the client’s message. It gives the client the opportunity to correct misconceptions. This is not the purpose of any of the other options.CHAPTER 9 Therapeutic CommunicationPost-Test8th Edition
5. During a therapeutic encounter, the nurse makes an effort to ensure the use of two congruent levels of communication. What is the rationale for this? a. The mental image of a word may not be the same for both nurse and client.b. One statement may simultaneously convey conflicting messages.c. Many of the client’s remarks are no more than social phrases.d. Content of messages may be contradicted by process.
d. Content of messages may be contradicted by process.Verbal messages may be contradicted by the nonverbal message that is conveyed. The nonverbal message is usually more consistent with the client’s feelings than the verbal message. None of the remaining options are so directly associated with assuring congruency.CHAPTER 9 Therapeutic CommunicationPost-Test8th Edition
6. When discussing her husband, a client shares that “I would be better off alone. At least I would be able to come and go as I please and not have to be interrogated all the time.” What therapeutic communication technique is the nurse using when responding, “Are you saying that things would be better if you left your husband?” a. Focusingb. Restatingc. Reflectiond. Clarification
d. ClarificationClarification verifies the nurse’s interpretation of the client’s message. None of the other options are associated with the verification of the client’s meaning.CHAPTER 9 Therapeutic CommunicationPost-Test8th Edition
7. What is the most helpful nursing response to a client who reports thinking of dropping out of college because it is too stressful? a. “Don’t let them beat you! Fight back!” b. “School is stressful. What do you find most stressful?”c. “I know just what you are going through. The stress is terrible.”d. “You have only two more semesters. You will be glad if you stick it out.”
b. “School is stressful. What do you find most stressful?”This response acknowledges the speaker’s perception of school as difficult and asks for further information. This response suggests the nurse is listening actively and is concerned.CHAPTER 9 Therapeutic CommunicationPost-Test8th Edition
1. AS A NURSE ASSESSES A NEW CLIENT, THE NURSE MAKES SURE THE DOOR REMAINS OPEN. WHICH TYPE OF COMMUNICATION FACTOR IS THIS ACTION?A. ENVIRONMENTALB. RELATIONSHIPC. PERSONAL
A. ENVIRONMENTALEnvironmental factors that may affect communication include physical factors (e.g., background noise, lack of privacy, uncomfortable accommodations) and societal determinants (e.g., sociopolitical, historical, and economic factors, the presence of others, expectations of others).CHAPTER 9 Communication and the Clinical InterviewAsbury's PowerPoint Questions
2. A NURSE ASSESSES A NEWLY HOSPITALIZED CLIENT. WHICH COMMUNICATION TECHNIQUE WILL THE NURSE USE MOST?A. RAPID, HIGH-PITCH VOICE TONEB. CLOSED-ENDED QUESTIONSC. DIRECT EYE CONTACTD. FREQUENT TOUCH
B. CLOSED-ENDED QUESTIONSClosed-ended questions are most useful in an initial assessment or to ascertain specific information.CHAPTER 9 Communication and the Clinical InterviewAsbury's PowerPoint Questions
3. A STUDENT NURSE IS LEARNING ABOUT THE APPROPRIATE USE OF TOUCH WHEN COMMUNICATING WITH CLIENTS DIAGNOSED WITH PSYCHIATRIC DISORDERS. WHICH STATEMENT BY THE INSTRUCTOR BEST PROVIDES INFORMATION ABOUT THIS ASPECT OF THERAPEUTIC COMMUNICATION?A. “TOUCH CARRIES A DIFFERENT MEANING FOR DIFFERENT INDIVIDUALS.”B. “TOUCH IS OFTEN USED WHEN DEESCALATING VOLATILE CLIENT SITUATIONS.”C. “TOUCH IS USED TO CONVEY INTEREST AND WARMTH.”D. “TOUCH IS BEST COMBINED WITH EMPATHY WHEN DEALING WITH ANXIOUS CLIENTS.”
A. “TOUCH CARRIES A DIFFERENT MEANING FOR DIFFERENT INDIVIDUALS.”Touch can elicit both negative and positive reactions, depending on the people involved and the circumstances of the interaction.CHAPTER 9 Communication and the Clinical InterviewAsbury's PowerPoint Questions
4. WHICH THERAPEUTIC COMMUNICATION TECHNIQUE IS BEING USED IN THIS NURSE-CLIENT INTERACTION?CLIENT: “WHEN I GET ANGRY, I GET INTO A FISTFIGHT WITH MY WIFE OR I TAKE IT OUT ON THE KIDS.”NURSE: “I NOTICE THAT YOU ARE SMILING AS YOU TALK ABOUT THIS PHYSICAL VIOLENCE.”A. ENCOURAGING COMPARISONB. EXPLORINGC. FORMULATING A PLAN OF ACTIOND. MAKING OBSERVATIONS
D. MAKING OBSERVATIONSThe nurse is using the therapeutic communication technique of making observations when noting that the client smiles when talking about physical violence. The technique of making observations encourages the client to compare personal perceptions with those of the nurse.CHAPTER 9 Communication and the Clinical InterviewAsbury's PowerPoint Questions
What is the ideal seating arrangement for most clinical interviews?
Which seating arrangement appropriately supports communication during a nurse
Which guideline should a nurse use when choosing a position?
Which communication technique should the nurse use with a patient who has been identified as having difficulty expressing thoughts and feelings?

b. “You say you look forward to the meeting, but you appear anxious or unhappy.”CHAPTER 9 Communication and the clinical interviewChapter Review7th editionKaitlin G.

*** 2. Which student behavior is consistent with therapeutic communication?a. Offering your opinion when asked in order to convey support.b. Summarizing the essence of the patient’s comments in your own words. c. Interrupting periods of silence before they become awkward for the patient.d. Telling the patient he did well when you approve of his statements or actions.

b. Summarizing the essence of the patient’s comments in your own words.CHAPTER 9 Communication and the clinical interviewChapter Review7th editionKaitlin G.

*** 3. Which statement about nonverbal behavior is accurate?a. A calm expression means that the patient is experiencing low levels of anxiety.b. Patients respond more consistently to therapeutic touch than to verbal interventions.c. The meaning of nonverbal behaviors varies with cultural and individual differences.d. Eye contact is a reliable measure of the patient’s degree of attentiveness and engagement.

c. The meaning of nonverbal behaviors varies with cultural and individual differences.CHAPTER 9 Communication and the clinical interviewChapter Review7th editionAmanda Z.

*** 4. A nurse stops in to interview a patient on a medical unit and finds the patient lying supine in her bed with the head elevated at 10 degrees. Which initial response(s) would most enhance the chances of achieving a therapeutic interaction? Select all that apply.a. Apologize for the differential in height and proceed while standing to avoid delay.b. If permitted, raise the head of the bed and, with the patient’s permission, sit on the bed.c. If permitted, raise the head of the bed to approximate the nurse’s height while standing.d. Sit in whatever chair is available in the room to convey informality and increase comfort.e. Locate a chair or stool that would place the nurse at approximately the level of the patient.f. Remain standing and proceed so as not to create distraction by altering the arrangements.

e. Locate a chair or stool that would place the nurse at approximately the level of the patient.CHAPTER 9 Communication and the clinical interviewChapter Review7th editionAmanda Z.

*** 5. James is a 42-year-old patient with schizophrenia. He approaches you as you arrive for day shift and anxiously reports, “Last night demons came to my room and tried to rape me.” Which response would be most therapeutic?a. “There are no such things as demons; what you saw were hallucinations.”b. “It is not possible for anyone to enter your room at night; you are safe here.”c. “You seem very upset; please tell me more about what you experienced last night.”d. “That must have been very frightening, but we’ll check on you at night and you’ll be safe.”

c. “You seem very upset; please tell me more about what you experienced last night.”CHAPTER 9 Communication and the clinical interviewChapter Review7th editionAmanda Z.

*** 1. Of the following environments, which would be most conducive to a therapeutic session?A. The nurses' stationB. A table in the coffee shopC. A quiet section of the day roomD. The utility room

C. A quiet section of the day roomOf the options provided, a quiet corner of the day room offers the safest, quietest, most private environment for a therapeutic encounter.CHAPTER 9 Communication and the clinical interviewPre-Test7th editionBethany M.

*** 2. Which communication techniques should the nurse use with a client who has been identified as having difficulty expressing thoughts and feelings?A. Using emotionally charged words and gesturesB. Offering opinions and avoiding periods of silenceC. Asking closed-ended questions requiring "yes" or "no" answersD. Asking open-ended questions and seeking clarification

D. Asking open-ended questions and seeking clarificationOpen-ended questions give the client the widest possible latitude in answering. Also, the client can take the lead in the interview. Seeking clarification helps the client clarify his or her own thoughts and promotes mutual understanding.CHAPTER 9 Communication and the clinical interviewPre-Test7th editionBethany M.

*** 3. What therapeutic communication technique is the nurse using by asking a newly admitted patient, "Can you tell me what was happening to you that led to your being hospitalized here?"A. Using a minimal encouragerB. Using an open-ended questionC. ParaphrasingD. Reflecting

B. Using an open-ended questionOpen-ended questions require more than one-word answers.CHAPTER 9 Communication and the clinical interviewPre-Test7th editionBethany M.

*** 4. The content and direction of the clinical interview is determined by theA. nurse.B. client.C. physician.D. health care team.

B. client.CHAPTER 9 Communication and the clinical interviewPre-Test7th editionBethany M.

5. The preferred seating arrangement for a nurse-client interview is withA. the nurse behind a desk and the client in a chair in front of the desk.B. the nurse and client sitting at a 90-degree angle to each other.C. the client sitting in a chair and the nurse standing a few feet away.D. the nurse and client sitting facing each other.

B. the nurse and client sitting at a 90-degree angle to each other.This arrangement allows the nurse to observe the client but places no barriers between the principals. The two are at the same height, so neither is in an inferior position. Face-to-face seating is a more confrontational arrangement and therefore more anxiety producing.CHAPTER 9 Communication and the clinical interviewPre-Test7th edition

6. What is the focus during clinical supervision?A. The nurse's behavior in the nurse-client relationshipB. Analysis of the client's motivation for transferencesC. Devising alternative strategies for client growthD. Assisting the client to develop increased independence

A. The nurse's behavior in the nurse-client relationshipClinical supervision helps the nurse look at his or her own behavior and determine more effective approaches to working with clients.CHAPTER 9 Communication and the clinical interviewPre-Test7th edition

7. Two main principles that can guide the communication process during the nurse-client interview areA. clarity and giving recognition.B. personal and environmental factors.C. passive listening and cultural caution. (adsbygoogle = window.adsbygoogle || []).push({}); D. interpreting and speculating on the client's meaning.

A. clarity and giving recognition.Clarity refers to mutual understanding of communication, and giving recognition indicates awareness of change and personal efforts. Both are desirable.CHAPTER 9 Communication and the clinical interviewPre-Test7th edition

*** 8. When considering the interaction between verbal and nonverbal communication, what is the best word to complete this analogy: Verbal communication relates to content as nonverbal communication relates toA. touch.B. conflict.C. process.D. double messages.

C. process.The verbal message is sometimes referred to as the content of the message, and the nonverbal behavior is called the process of the message.CHAPTER 9 Communication and the clinical interviewPre-Test7th editionBen J.

9. A nurse should perceive an intense, highly emotional communication style as culturally appropriate for a client who is A. African American.B. Hispanic American.C. Asian American.D. British American.

B. Hispanic American.Highly emotional verbal communication accompanied by dramatic body language when describing emotional problems is a style associated with persons of Hispanic culture. French and Italian Americans also demonstrate animated facial expressions and expressive hand gestures during communication.CHAPTER 9 Communication and the clinical interviewPre-Test7th edition

10. When determining the appropriateness of touching a psychiatric client, the nurse shouldA. follow his or her instincts concerning touching individual clients.B. touch the elderly but avoid touching the young.C. check the facility's policy on the acceptability of touch.D. perceive touch as a gesture of warmth and friendship that fosters a relationship.

C. check the facility's policy on the acceptability of touch.Students are urged to check the policy manual of their facilities, because some facilities have a no-touch policy, particularly with adolescents and children who may have experienced inappropriate touch and would not know how to interpret the touch of the health care worker.CHAPTER 9 Communication and the clinical interviewPre-Test7th edition

*** 1. When the client sits about 5 feet away from the nurse during the assessment interview, the nurse interprets that the client views the nurse as aA. safe person to interact with.B. new friend.C. stranger.D. peer.

*** 2. When discussing her husband, a client shares that "I would be better off alone. At least I would be able to come and go as I please and not have to be interrogated all the time." What therapeutic communication technique is the nurse using when responding, "Are you saying that things would be better if you left your husband?"A. FocusingB. RestatingC. ReflectionD. Clarification

D. ClarificationClarification verifies the nurse's interpretation of the client's message.CHAPTER 9 Communication and the clinical interviewPost-Test7th editionAmanda Z.

D. Content of messages may be contradicted by process.Verbal messages may be contradicted by the nonverbal message that is conveyed. The nonverbal message is usually more consistent with the client's feelings than the verbal message.CHAPTER 9 Communication and the clinical interviewPost-Test7th editionAmy S.

*** 4. During a therapeutic encounter the nurse remarks to a client, "I noticed anger in your voice when you spoke of your father. Tell me about that." What communication techniques is the nurse using?A. Giving information and encouraging evaluationB. Presenting reality and encouraging planningC. Clarifying and suggesting collaborationD. Reflecting and exploring

D. Reflecting and exploringReflecting conveys the nurse's observations of the client when a sensitive issue is being discussed. Exploring seeks to examine a certain idea more fully.CHAPTER 9 Communication and the clinical interviewPost-Test7th editionHuyen T.

*** 5. After a client discusses her relationship with her father, the nurse asks, "Tell me if I'm correct that you feel dominated and controlled by him?" The nurse's purpose is toA. elicit more information.B. encourage evaluation.C. verbalize the implied.D. clarify message.

D. clarify message.Clarification helps the nurse understand and correctly interpret the client's message. It gives the client the opportunity to correct misconceptions.CHAPTER 9 Communication and the clinical interviewPost-Test7th editionAmy S.

*** 6. Which statement by the nurse reflects the process occurring in the clinical interview?A. "Give me an example of something your wife does that 'drives you nuts.'"B. "What makes you think your doctor will give you a pass?"C. "When is your child custody hearing going to be held?"D. "You are frowning. What are you feeling?"

D. "You are frowning. What are you feeling?"Process refers to nonverbal behavior. Nonverbal behavior is often a more accurate gauge of client feelings than what is being verbalized.CHAPTER 9 Communication and the clinical interviewPost-Test7th editionHuyen T.

*** 7. What is the most helpful nursing response to a client who reports thinking of dropping out of college because it is too stressful?A. "Don't let them beat you! Fight back!"B. "School is stressful. What do you find most stressful?"C. "I know just what you are going through. The stress is terrible."D. "You have only two more semesters. You will be glad if you stick it out."

B. "School is stressful. What do you find most stressful?"This response acknowledges the speaker's perception of school as difficult and asks for further information. This response suggests the nurse is listening actively and is concerned.CHAPTER 9 Communication and the clinical interviewPost-Test7th editionAlex S.

*** 8. Recent immigrants to the United States from which country would find direct eye contact a positive therapeutic technique?A. KoreaB. Mexico (adsbygoogle = window.adsbygoogle || []).push({}); C. JapanD. Germany

D. GermanyEye contact conveys interest to most northern European individuals. Eye contact would be considered intrusive to the others.CHAPTER 9 Communication and the clinical interviewPost-Test7th editionAlex S.

9. With which client should the nurse make the assessment that not using touch would probably be in the client's best interests?A. A recent immigrant from RussiaB. A deeply depressed clientC. A Chinese American clientD. A tearful client reporting pain

C. A Chinese American clientChinese Americans may not like to be touched by strangers.CHAPTER 9 Communication and the clinical interviewPost-Test7th edition

10. During a clinical interview the client falls silent after disclosing that she was sexually abused as a child. The nurse shouldA. quickly break the silence and encourage the client to continue.B. reassure the client that the abuse was not her fault.C. reach out and gently touch the client's arm.D. allow the client to break the silence.

D. allow the client to break the silence.Silence is not a "bad" thing. It gives the speaker time to think through a point or collect his or her thoughts.CHAPTER 9 Communication and the clinical interviewPost-Test7th edition

1. Which of the following statements indicate a nontherapeutic communication technique? (select all that apply):Select all that apply.a. “Why didn’t you attend group this morning?”b. “From what you have said, you have great difficulty sleeping at night.”c. “What did your boyfriend do that made you leave? Are you angry at him? Did he abuse you in some way?”d. “If I were you, I would quit the stressful job and find something else.”e. “I’m really proud of you for the way you stood up to your brother when he visited today.”f. “You mentioned that you have never had friends. Tell me more about that.”g. “It sounds like you have been having a very hard time at home lately.”

a. “Why didn’t you attend group this morning?”c. “What did your boyfriend do that made you leave? Are you angry at him? Did he abuse you in some way?”d. “If I were you, I would quit the stressful job and find something else.” e. “I’m really proud of you for the way you stood up to your brother when he visited today.”All these options reflect the nontherapeutic techniques of (in order) asking “why” questions; using excessive questioning; giving advice; and giving approval. The other options describe therapeutic techniques of restating, exploring, and reflecting.CHAPTER 9 Communication and the clinical interviewEvolve Review Questions7th edition

*** 2. You enter the room of Andrea, a patient on the psychiatric unit. Andrea is sitting with her arms crossed over her chest and her left leg rapidly moving up and down, and she has an angry expression on her face. When you approach her, she states harshly, “I’m fine! Everything’s great.” Which of the following is true regarding verbal and nonverbal communication? a. Verbal communication is always more accurate than nonverbal communication.b. Verbal communication is more straightforward, whereas nonverbal communication does not portray what a person is thinking.c. Nonverbal and verbal communication may be different; nurses must pay attention to the nonverbal communication being presented to get an accurate message.d. Nonverbal communication is about 10% of all communication, and verbal communication is about 90%.

c. Nonverbal and verbal communication may be different; nurses must pay attention to the nonverbal communication being presented to get an accurate message.Communication is roughly 10% verbal and 90% nonverbal, so nurses must pay close attention to nonverbal cues to accurately assess what the patient is really feeling. The other options are all untrue of verbal and nonverbal communication and are actually the opposite of what is believed of communication.CHAPTER 9 Communication and the clinical interviewEvolve Review Questions7th editionAlex S.

3. You enter the room of Andrea, a patient on the psychiatric unit. Andrea is sitting with her arms crossed over her chest and her left leg rapidly moving up and down, and she has an angry expression on her face. When you approach her, she states harshly, “I’m fine! Everything’s great.” Which of the following responses would be therapeutic? a. “Okay, but we are all here to help you, so come get one of the staff if you need to talk.”b. “I’m glad everything is good. I am going to give you your schedule for the day and we can discuss how the groups are going.”c. “I don’t believe you. You are not being truthful with me.”d. “It looks as though you are saying one thing but feeling another. Can you tell me what may be upsetting you?”

4. You are caring for William, a 55-year-old patient who recently came to the United States from England on a work visa. He was admitted for severe depression following the death of his wife from cancer 2 weeks ago. While telling you about his wife’s death and how it has affected him, William shows little emotion. Which of the following explanations is most plausible? a. William did not love his wife.b. William’s response may reflect cultural norms.c. William’s response may reflect guilt.d. William may have an antisocial personality, which would explain his lack of feeling.

b. William’s response may reflect cultural norms.Showing little emotion while in distress may be a cultural phenomenon. Some cultures, such as the British and German cultures, tend to value highly the concept of self-control and may show little facial emotion in the presence of emotional turmoil. There is no evidence to suggest the patient did not love his wife, and this would be jumping to conclusions. There is also nothing in the scenario to suggest guilt and there is no evidence in the scenario to suggest antisocial personality disorder.CHAPTER 9 Communication and the clinical interviewEvolve Review Questions7th edition

2. A patient is presenting with behaviors that indicate anger. When approached, the patient states harshly, “I’m fine! Everything’s great.” Which response should the nurse provide to the patient? a. “Okay, but we are all here to help you, so come get one of the staff if you need to talk.”b. “I’m glad everything is good. I am going to give you your schedule for the day and we can discuss how the groups are going.”c. “I don’t believe you. You are not being truthful with me.”d. “It looks as though you are saying one thing but feeling another. Can you tell me what may be upsetting you?”

c. Nonverbal and verbal communication may be different; nurses must pay attention to the nonverbal communication being presented to get an accurate message.Communication is roughly 10% verbal and 90% nonverbal, so nurses must pay close attention to nonverbal cues to accurately assess what the patient is really feeling. The other options are all untrue of verbal and nonverbal communication and are actually the opposite of what is believed of communication.CHAPTER 9 Therapeutic CommunicationEvolve Review Questions8th Edition

4. A 55-year-old patient recently came to the United States from England on a work visa. The patient was admitted for severe depression following the death of a life partner weeks ago. While discussing the death and its effects the patient shows little emotion. Which of the following explanations is most plausible for this lack of emotion? a. The patient in denial.b. The response may reflect cultural norms.c. The response may reflect personal guilt.d. The patient may have an antisocial personality.

b. The response may reflect cultural norms.Showing little emotion while in distress may be a cultural phenomenon. Some cultures, such as the British and German cultures, tend to value highly the concept of self-control and may show little facial emotion in the presence of emotional turmoil. There is no evidence to suggest the patient’s lack of emotion is a result of any of the other options.CHAPTER 9 Therapeutic CommunicationEvolve Review Questions8th Edition

5. Which of the following statements represent a nontherapeutic communication technique?Select all that apply.a. “Why didn’t you attend group this morning?”b. “From what you have said, you have great difficulty sleeping at night.”c. “What did your boyfriend do that made you leave? Are you angry at him? Did he abuse you in some way?”d. “If I were you, I would quit the stressful job and find something else.”e. “I’m really proud of you for the way you stood up to your brother when he visited today.”f. “You mentioned that you have never had friends. Tell me more about that.”g. “It sounds like you have been having a very hard time at home lately.”

a. “Why didn’t you attend group this morning?”c. “What did your boyfriend do that made you leave? Are you angry at him? Did he abuse you in some way?”d. “If I were you, I would quit the stressful job and find something else.”e. “I’m really proud of you for the way you stood up to your brother when he visited today.”All these options reflect the nontherapeutic techniques of (in order) asking “why” questions; using excessive questioning; giving advice; and giving approval. The other options describe therapeutic techniques of restating, exploring, and reflecting.CHAPTER 9 Therapeutic CommunicationEvolve Review Questions8th Edition

1. Recent immigrants to the United States from which country would find direct eye contact a positive therapeutic technique?A. KoreaB. MexicoC. JapanD. Germany

D. GermanyEye contact conveys interest to most northern European individuals. Eye contact would be considered intrusive to the others.CHAPTER 9 Therapeutic CommunicationPre-Test8th Edition

2. Of the following environments, which would be most conducive to a therapeutic session? a. The nurses’ stationb. A table in the coffee shopc. A quiet section of the day roomd. The utility room

c. A quiet section of the day roomOf the options provided, a quiet corner of the day room offers the safest, quietest, most private environment for a therapeutic encounter. None of the other options offer these characteristics.CHAPTER 9 Therapeutic CommunicationPre-Test8th Edition

3. What therapeutic communication technique is the nurse using by asking a newly admitted patient, “Please tell me what was happening that led to your hospitalization here?” a. Using a minimal encouragerb. Using an open-ended questionc. Paraphrasingd. Reflecting

b. Using an open-ended questionOpen-ended questions require more than one-word answers. This question encourages the patient to provide a narrative concerning the circumstances surrounding the need for admission.CHAPTER 9 Therapeutic CommunicationPre-Test8th Edition

4. The client makes the decision to sit about 5 feet away from the nurse during the assessment interview. The nurse can accurately make what assumption about the client’s perception of the nurse? a. The nurse is a safe person to interact with.b. The nurse is a new friend.c. They view the nurse as a stranger.d. They view the nurse as a peer.

5. Which communication techniques should the nurse use with a client who has been identified as having difficulty expressing thoughts and feelings? a. Using emotionally charged words and gesturesb. Offering opinions and avoiding periods of silencec. Asking closed-ended questions requiring “yes” or “no” answersd. Asking open-ended questions and seeking clarification

d. Asking open-ended questions and seeking clarificationOpen-ended questions give the client the widest possible latitude in answering. Also, the client can take the lead in the interview. Seeking clarification helps the client clarify his or her own thoughts and promotes mutual understanding. None of the options provide this support.CHAPTER 9 Therapeutic CommunicationPre-Test8th Edition

6. The preferred seating arrangement for a nurse–client interview should incorporate which positioning? a. The nurse behind a desk and the client in a chair in front of the desk.b. The nurse and client sitting at a 90-degree angle to each other.c. The client sitting in a chair and the nurse standing a few feet away.d. The nurse and client sitting facing each other.

b. The nurse and client sitting at a 90-degree angle to each other.This arrangement allows the nurse to observe the client but places no barriers between the principals. The two are at the same height, so neither is in an inferior position. Face-to-face seating is a more confrontational arrangement and therefore more anxiety producing.CHAPTER 9 Therapeutic CommunicationPre-Test8th Edition

7. What is the focus during clinical supervision? a. The nurse’s behavior in the nurse–client relationshipb. Analysis of the client’s motivation for transferencesc. Devising alternative strategies for client growthd. Assisting the client to develop increased independence

a. The nurse’s behavior in the nurse–client relationshipClinical supervision helps the nurse look at his or her own behavior and determine more effective approaches to working with clients. None of the other options are associated with clinical supervision.CHAPTER 9 Therapeutic CommunicationPre-Test8th Edition

1. During a clinical interview the client falls silent after disclosing that she was sexually abused as a child. The nurse should engage in which intervention in response to the client’s silence? a. Quickly break the silence and encourage the client to continue.b. Reassure the client that the abuse was not her fault.c. Reach out and gently touch the client’s arm.d. Allow the client to break the silence. (adsbygoogle = window.adsbygoogle || []).push({});

d. Allow the client to break the silence.Silence is not a “bad” thing. It gives the speaker time to think through a point or collect his or her thoughts. None of the other options will assist with further communication with this client.CHAPTER 9 Therapeutic CommunicationPost-Test8th Edition

2. During a therapeutic encounter the nurse remarks to a client, “I noticed anger in your voice when you spoke of your father. Tell me about that.” What communication techniques is the nurse using? a. Giving information and encouraging evaluationb. Presenting reality and encouraging planningc. Clarifying and suggesting collaborationd. Reflecting and exploring

d. Reflecting and exploringReflecting conveys the nurse’s observations of the client when a sensitive issue is being discussed. Exploring seeks to examine a certain idea more fully.CHAPTER 9 Therapeutic CommunicationPost-Test8th Edition

3. With which client should the nurse make the assessment that not using touch would probably be in the client’s best interests? a. A recent immigrant from Russiab. A deeply depressed clientc. A Chinese American clientd. A tearful client reporting pain

c. A Chinese American clientChinese Americans may not like to be touched by strangers since it is a cultural characteristic.CHAPTER 9 Therapeutic CommunicationPost-Test8th Edition

4. After a client discusses his/her relationship with his/her father, the nurse asks, “Tell me if I’m correct that you feel dominated and controlled by him?” What is the purpose of the nurse’s question? a. Eliciting more informationb. Encouraging evaluationc. Verbalizing the impliedd. Clarifying the message

d. Clarifying the messageClarification helps the nurse understand and correctly interpret the client’s message. It gives the client the opportunity to correct misconceptions. This is not the purpose of any of the other options.CHAPTER 9 Therapeutic CommunicationPost-Test8th Edition

d. Content of messages may be contradicted by process.Verbal messages may be contradicted by the nonverbal message that is conveyed. The nonverbal message is usually more consistent with the client’s feelings than the verbal message. None of the remaining options are so directly associated with assuring congruency.CHAPTER 9 Therapeutic CommunicationPost-Test8th Edition

6. When discussing her husband, a client shares that “I would be better off alone. At least I would be able to come and go as I please and not have to be interrogated all the time.” What therapeutic communication technique is the nurse using when responding, “Are you saying that things would be better if you left your husband?” a. Focusingb. Restatingc. Reflectiond. Clarification

d. ClarificationClarification verifies the nurse’s interpretation of the client’s message. None of the other options are associated with the verification of the client’s meaning.CHAPTER 9 Therapeutic CommunicationPost-Test8th Edition

7. What is the most helpful nursing response to a client who reports thinking of dropping out of college because it is too stressful? a. “Don’t let them beat you! Fight back!” b. “School is stressful. What do you find most stressful?”c. “I know just what you are going through. The stress is terrible.”d. “You have only two more semesters. You will be glad if you stick it out.”

b. “School is stressful. What do you find most stressful?”This response acknowledges the speaker’s perception of school as difficult and asks for further information. This response suggests the nurse is listening actively and is concerned.CHAPTER 9 Therapeutic CommunicationPost-Test8th Edition

1. AS A NURSE ASSESSES A NEW CLIENT, THE NURSE MAKES SURE THE DOOR REMAINS OPEN. WHICH TYPE OF COMMUNICATION FACTOR IS THIS ACTION?A. ENVIRONMENTALB. RELATIONSHIPC. PERSONAL

A. ENVIRONMENTALEnvironmental factors that may affect communication include physical factors (e.g., background noise, lack of privacy, uncomfortable accommodations) and societal determinants (e.g., sociopolitical, historical, and economic factors, the presence of others, expectations of others).CHAPTER 9 Communication and the Clinical InterviewAsbury's PowerPoint Questions

2. A NURSE ASSESSES A NEWLY HOSPITALIZED CLIENT. WHICH COMMUNICATION TECHNIQUE WILL THE NURSE USE MOST?A. RAPID, HIGH-PITCH VOICE TONEB. CLOSED-ENDED QUESTIONSC. DIRECT EYE CONTACTD. FREQUENT TOUCH

B. CLOSED-ENDED QUESTIONSClosed-ended questions are most useful in an initial assessment or to ascertain specific information.CHAPTER 9 Communication and the Clinical InterviewAsbury's PowerPoint Questions

3. A STUDENT NURSE IS LEARNING ABOUT THE APPROPRIATE USE OF TOUCH WHEN COMMUNICATING WITH CLIENTS DIAGNOSED WITH PSYCHIATRIC DISORDERS. WHICH STATEMENT BY THE INSTRUCTOR BEST PROVIDES INFORMATION ABOUT THIS ASPECT OF THERAPEUTIC COMMUNICATION?A. “TOUCH CARRIES A DIFFERENT MEANING FOR DIFFERENT INDIVIDUALS.”B. “TOUCH IS OFTEN USED WHEN DEESCALATING VOLATILE CLIENT SITUATIONS.”C. “TOUCH IS USED TO CONVEY INTEREST AND WARMTH.”D. “TOUCH IS BEST COMBINED WITH EMPATHY WHEN DEALING WITH ANXIOUS CLIENTS.”

A. “TOUCH CARRIES A DIFFERENT MEANING FOR DIFFERENT INDIVIDUALS.”Touch can elicit both negative and positive reactions, depending on the people involved and the circumstances of the interaction.CHAPTER 9 Communication and the Clinical InterviewAsbury's PowerPoint Questions

4. WHICH THERAPEUTIC COMMUNICATION TECHNIQUE IS BEING USED IN THIS NURSE-CLIENT INTERACTION?CLIENT: “WHEN I GET ANGRY, I GET INTO A FISTFIGHT WITH MY WIFE OR I TAKE IT OUT ON THE KIDS.”NURSE: “I NOTICE THAT YOU ARE SMILING AS YOU TALK ABOUT THIS PHYSICAL VIOLENCE.”A. ENCOURAGING COMPARISONB. EXPLORINGC. FORMULATING A PLAN OF ACTIOND. MAKING OBSERVATIONS

D. MAKING OBSERVATIONSThe nurse is using the therapeutic communication technique of making observations when noting that the client smiles when talking about physical violence. The technique of making observations encourages the client to compare personal perceptions with those of the nurse.CHAPTER 9 Communication and the Clinical InterviewAsbury's PowerPoint Questions

What is the ideal seating arrangement for most clinical interviews?

In all clinical interview settings, the seating arrangement is done in such a way that proper eye contact can be maintained and avoided when required. Therefore, chairs must be placed at 90-120-degree angles. Chairs should be placed at the same level.

Which seating arrangement appropriately supports communication during a nurse

Which seating arrangement appropriately supports communication during a nurse-client interview? Sitting at a 90-degree angle to each other is less intense and allows the client and nurse to look away from each other without discomfort.

Which guideline should a nurse use when choosing a position?

Which guideline should a nurse use when choosing a position (location) in relation to a client during a verbal interaction? Take note of the client's cues when choosing a position and act on these cues.

Which communication technique should the nurse use with a patient who has been identified as having difficulty expressing thoughts and feelings?

Which communication techniques should the nurse use with a client who has been identified as having difficulty expressing thoughts and feelings? Open-ended questions give the client the widest possible latitude in answering.

What is the most favorable seating arrangement of the nurse and the client in an interview *?

b. “You say you look forward to the meeting, but you appear anxious or unhappy.”CHAPTER 9 Communication and the clinical interviewChapter Review7th editionKaitlin G.

b. Summarizing the essence of the patient’s comments in your own words.CHAPTER 9 Communication and the clinical interviewChapter Review7th editionKaitlin G.

c. The meaning of nonverbal behaviors varies with cultural and individual differences.CHAPTER 9 Communication and the clinical interviewChapter Review7th editionAmanda Z.

e. Locate a chair or stool that would place the nurse at approximately the level of the patient.CHAPTER 9 Communication and the clinical interviewChapter Review7th editionAmanda Z.

c. “You seem very upset; please tell me more about what you experienced last night.”CHAPTER 9 Communication and the clinical interviewChapter Review7th editionAmanda Z.

*** 1. Of the following environments, which would be most conducive to a therapeutic session?A. The nurses' stationB. A table in the coffee shopC. A quiet section of the day roomD. The utility room

C. A quiet section of the day roomOf the options provided, a quiet corner of the day room offers the safest, quietest, most private environment for a therapeutic encounter.CHAPTER 9 Communication and the clinical interviewPre-Test7th editionBethany M.

*** 3. What therapeutic communication technique is the nurse using by asking a newly admitted patient, "Can you tell me what was happening to you that led to your being hospitalized here?"A. Using a minimal encouragerB. Using an open-ended questionC. ParaphrasingD. Reflecting

B. Using an open-ended questionOpen-ended questions require more than one-word answers.CHAPTER 9 Communication and the clinical interviewPre-Test7th editionBethany M.

*** 4. The content and direction of the clinical interview is determined by theA. nurse.B. client.C. physician.D. health care team.

B. client.CHAPTER 9 Communication and the clinical interviewPre-Test7th editionBethany M.

6. What is the focus during clinical supervision?A. The nurse's behavior in the nurse-client relationshipB. Analysis of the client's motivation for transferencesC. Devising alternative strategies for client growthD. Assisting the client to develop increased independence

A. The nurse's behavior in the nurse-client relationshipClinical supervision helps the nurse look at his or her own behavior and determine more effective approaches to working with clients.CHAPTER 9 Communication and the clinical interviewPre-Test7th edition

A. clarity and giving recognition.Clarity refers to mutual understanding of communication, and giving recognition indicates awareness of change and personal efforts. Both are desirable.CHAPTER 9 Communication and the clinical interviewPre-Test7th edition

*** 8. When considering the interaction between verbal and nonverbal communication, what is the best word to complete this analogy: Verbal communication relates to content as nonverbal communication relates toA. touch.B. conflict.C. process.D. double messages.

C. process.The verbal message is sometimes referred to as the content of the message, and the nonverbal behavior is called the process of the message.CHAPTER 9 Communication and the clinical interviewPre-Test7th editionBen J.

9. A nurse should perceive an intense, highly emotional communication style as culturally appropriate for a client who is A. African American.B. Hispanic American.C. Asian American.D. British American.

*** 1. When the client sits about 5 feet away from the nurse during the assessment interview, the nurse interprets that the client views the nurse as aA. safe person to interact with.B. new friend.C. stranger.D. peer.

C. stranger.Social distance (4-12 feet) is reserved for strangers or acquaintances. This is often the client's perception of staff during the initial phase of relationship-building.CHAPTER 9 Communication and the clinical interviewPost-Test7th editionBen J.

D. ClarificationClarification verifies the nurse's interpretation of the client's message.CHAPTER 9 Communication and the clinical interviewPost-Test7th editionAmanda Z.

D. Reflecting and exploringReflecting conveys the nurse's observations of the client when a sensitive issue is being discussed. Exploring seeks to examine a certain idea more fully.CHAPTER 9 Communication and the clinical interviewPost-Test7th editionHuyen T.

*** 5. After a client discusses her relationship with her father, the nurse asks, "Tell me if I'm correct that you feel dominated and controlled by him?" The nurse's purpose is toA. elicit more information.B. encourage evaluation.C. verbalize the implied.D. clarify message.

D. clarify message.Clarification helps the nurse understand and correctly interpret the client's message. It gives the client the opportunity to correct misconceptions.CHAPTER 9 Communication and the clinical interviewPost-Test7th editionAmy S.

D. "You are frowning. What are you feeling?"Process refers to nonverbal behavior. Nonverbal behavior is often a more accurate gauge of client feelings than what is being verbalized.CHAPTER 9 Communication and the clinical interviewPost-Test7th editionHuyen T.

*** 8. Recent immigrants to the United States from which country would find direct eye contact a positive therapeutic technique?A. KoreaB. Mexico (adsbygoogle = window.adsbygoogle || []).push({}); C. JapanD. Germany

D. GermanyEye contact conveys interest to most northern European individuals. Eye contact would be considered intrusive to the others.CHAPTER 9 Communication and the clinical interviewPost-Test7th editionAlex S.

9. With which client should the nurse make the assessment that not using touch would probably be in the client's best interests?A. A recent immigrant from RussiaB. A deeply depressed clientC. A Chinese American clientD. A tearful client reporting pain

C. A Chinese American clientChinese Americans may not like to be touched by strangers.CHAPTER 9 Communication and the clinical interviewPost-Test7th edition

D. allow the client to break the silence.Silence is not a "bad" thing. It gives the speaker time to think through a point or collect his or her thoughts.CHAPTER 9 Communication and the clinical interviewPost-Test7th edition

1. Recent immigrants to the United States from which country would find direct eye contact a positive therapeutic technique?A. KoreaB. MexicoC. JapanD. Germany

D. GermanyEye contact conveys interest to most northern European individuals. Eye contact would be considered intrusive to the others.CHAPTER 9 Therapeutic CommunicationPre-Test8th Edition

2. Of the following environments, which would be most conducive to a therapeutic session? a. The nurses’ stationb. A table in the coffee shopc. A quiet section of the day roomd. The utility room

c. A quiet section of the day roomOf the options provided, a quiet corner of the day room offers the safest, quietest, most private environment for a therapeutic encounter. None of the other options offer these characteristics.CHAPTER 9 Therapeutic CommunicationPre-Test8th Edition

3. What therapeutic communication technique is the nurse using by asking a newly admitted patient, “Please tell me what was happening that led to your hospitalization here?” a. Using a minimal encouragerb. Using an open-ended questionc. Paraphrasingd. Reflecting

b. Using an open-ended questionOpen-ended questions require more than one-word answers. This question encourages the patient to provide a narrative concerning the circumstances surrounding the need for admission.CHAPTER 9 Therapeutic CommunicationPre-Test8th Edition

7. What is the focus during clinical supervision? a. The nurse’s behavior in the nurse–client relationshipb. Analysis of the client’s motivation for transferencesc. Devising alternative strategies for client growthd. Assisting the client to develop increased independence

d. Allow the client to break the silence.Silence is not a “bad” thing. It gives the speaker time to think through a point or collect his or her thoughts. None of the other options will assist with further communication with this client.CHAPTER 9 Therapeutic CommunicationPost-Test8th Edition

d. Reflecting and exploringReflecting conveys the nurse’s observations of the client when a sensitive issue is being discussed. Exploring seeks to examine a certain idea more fully.CHAPTER 9 Therapeutic CommunicationPost-Test8th Edition

3. With which client should the nurse make the assessment that not using touch would probably be in the client’s best interests? a. A recent immigrant from Russiab. A deeply depressed clientc. A Chinese American clientd. A tearful client reporting pain

c. A Chinese American clientChinese Americans may not like to be touched by strangers since it is a cultural characteristic.CHAPTER 9 Therapeutic CommunicationPost-Test8th Edition

d. Clarifying the messageClarification helps the nurse understand and correctly interpret the client’s message. It gives the client the opportunity to correct misconceptions. This is not the purpose of any of the other options.CHAPTER 9 Therapeutic CommunicationPost-Test8th Edition

d. ClarificationClarification verifies the nurse’s interpretation of the client’s message. None of the other options are associated with the verification of the client’s meaning.CHAPTER 9 Therapeutic CommunicationPost-Test8th Edition

1. AS A NURSE ASSESSES A NEW CLIENT, THE NURSE MAKES SURE THE DOOR REMAINS OPEN. WHICH TYPE OF COMMUNICATION FACTOR IS THIS ACTION?A. ENVIRONMENTALB. RELATIONSHIPC. PERSONAL

2. A NURSE ASSESSES A NEWLY HOSPITALIZED CLIENT. WHICH COMMUNICATION TECHNIQUE WILL THE NURSE USE MOST?A. RAPID, HIGH-PITCH VOICE TONEB. CLOSED-ENDED QUESTIONSC. DIRECT EYE CONTACTD. FREQUENT TOUCH

B. CLOSED-ENDED QUESTIONSClosed-ended questions are most useful in an initial assessment or to ascertain specific information.CHAPTER 9 Communication and the Clinical InterviewAsbury's PowerPoint Questions

A. “TOUCH CARRIES A DIFFERENT MEANING FOR DIFFERENT INDIVIDUALS.”Touch can elicit both negative and positive reactions, depending on the people involved and the circumstances of the interaction.CHAPTER 9 Communication and the Clinical InterviewAsbury's PowerPoint Questions

What is the ideal seating arrangement for most clinical interviews?

Which seating arrangement appropriately supports communication during a nurse

Which guideline should a nurse use when choosing a position?

Which communication technique should the nurse use with a patient who has been identified as having difficulty expressing thoughts and feelings?

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