Question 1

Which of the following describes proxemics?&#10;A) Study of relationship between message and topic at hand&#10;B) Study of implied meanings within individuals&#10;C) Study of an individual's use of space&#10;D) Study of the emotional personal space boundary

Accepted Answer

Proxemics is the study of an individual's use of space. When institutionalized patients are able to incorporate parts of their rooms into their personal space, it increases their self-esteem and helps them to maintain a sense of identity. Freedom from worry about personal space allows the patient to trust the nurse and fosters a therapeutic relationship.

Question 2

Stereotypes are learned during&#10;A) exposure to early education.&#10;B) childhood and reinforced by life experiences.&#10;C) limited contact with other cultures.&#10;D) uncomfortable experiences with culturally diverse patients.

Accepted Answer

Stereotypes are learned during childhood and reinforced by life experiences.

Question 3

Which of the following demonstrates the use of the caring process?&#10;A) Respecting the uniqueness of every patient&#10;B) Problem solving for the patient&#10;C) Performing tasks for the patient&#10;D) Communicating expectations of the health care team

Accepted Answer

Caring is described as a commitment by the nurse that involves profound respect and concern for the unique humanity of every patient and a willingness to confirm the patient's personhood. Caring is demonstrated by problem-solving with the patient, not for the patient. Encouraging self-care empowers the patient. The nurse needs to respond to the patient's expectations for health care.

Question 4

Which of the following is a barrier to a meaningful effective nurse-patient relationship?&#10;A) Intrusion into personal space&#10;B) Unconditional acceptance&#10;C) Self-awareness&#10;D) Gender differences

Accepted Answer

Barriers include anxiety, stereotyping, over familiarity, and personal space violations. Unconditional acceptance is an essential element in the helping relationship. Self-awareness is essential for developing an effective, caring relationship. No evidence exists showing that gender differences obstruct the therapeutic relationship.

Question 5

Which of the following might create a mistrust between patient and nurse?&#10;A) Calming a fearful child by saying that an injection &#34;won't hurt at all.&#34;&#10;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.&#10;C) Constant requests by a patient to his nurse to run unnecessary errands.&#10;D) A nurse disassociating himself from a patient so much that he fails to provide essential health education.

Accepted Answer

Mistrust has an effect not only on communication but on healing process outcomes. Trust can be replaced with mistrust, as might occur if the nurse violates patient confidentiality. Having confidence in the nurse's skills, commitment, and caring allows the patient to place full attention on the health situation requiring resolution. Of course, patients can also jeopardize the trust a nurse has in them. A nurse disassociating himself from a patient is not an example of mistrust, but of a lack of empathy.

Question 6

Which of the following is true about trust?&#10;A) The sender feels it.&#10;B) It is difficult to demonstrate professionally.&#10;C) It is an intuitive process.&#10;D) The trusting patient feels comfortable revealing needs.

Accepted Answer

The development of a sense of interpersonal trust, a sense of feeling safe, is the keystone in the nurse-patient relationship. Trust provides a nonthreatening interpersonal climate in which people feel comfortable revealing their needs. The sender promotes a trusting relationship. Trust is demonstrated professionally in the nurse-patient relationship. The development of trust is based on past experiences, not intuition.

Question 7

Conveying genuine respect for his patients assists a nurse in doing what?&#10;A) Avoiding the casualness depicted in bad TV shows&#10;B) Building a professional relationship&#10;C) Eliminating the sense of devaluation most nurses begin to feel&#10;D) Avoiding feelings of helplessness and inadequacy

Accepted Answer

Conveying genuine respect for your patients assists in building professional relationships. Because your mutual goal is to maximize your patient's health status, you need to convey respect for their values and opinions. Asking them what they prefer to be called and always addressing them as such is a correct initial step. We try to remember that hospitalized patients feel a loss of control in relation to interpersonal relationships with staff.

Question 8

Which of the following are included in nursing communication behavior within Level 1?&#10;A) Confronts conflict&#10;B) Uses patient's correct name&#10;C) Maintains eye contact&#10;D) Adopts open posture&#10;E) Responds to cues

Accepted Answer

Using a patient's correct name, maintaining eye contact, and adopting open posture are responses that are demonstrated by the accepting category within Level 1 of levels of nursing communication behavior. Responds to cues is an example of a communication behavior at the listening category of Level 2. Confronting conflict is an example of a nursing behavior at the informing category of Level 2.

Question 9

Which of the following should be achieved first in establishing the nurse-patient relationship?&#10;A) Trust&#10;B) Empathy&#10;C) Mutuality&#10;D) Empowerment

Accepted Answer

Establishing trust is the foundation in all relationships. The development of a sense of interpersonal trust, a sense of feeling safe, is the keystone in the nurse-client relationship. Empathy is used by the nurse after trust is established. Mutuality is important in establishing patient goals. Empowerment occurs when the client actively participates in his or her care plan.

Question 10

The nurse demonstrates an understanding of mutuality when stating to the patient,&#10;A) &#34;Mr. Jones, I think you should go to bed now.&#34;&#10;B) &#34;Mr. Jones, I would like you to go to bed now.&#34;&#10;C) &#34;Mr. Jones, I don't think you should sit in the chair.&#34;&#10;D) &#34;Mr. Jones, I thought we agreed that you would return to bed at this time.&#34;

Accepted Answer

Mutuality is recognition of reciprocity in which we value and support the well-being of patients. It means the nurse and patient agree on the patient's health problems and the means for resolving them. Both parties are committed to enhancing the patient's well-being. When the nurse instructs the patient what to do, it represents the nurse's goals for the patient and does not demonstrate mutuality.

Question 11

Which is an example of patient-centered communication?&#10;A) Patient and nurse spend 15 enjoyable minutes trading stories about their similar childhoods.&#10;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.&#10;C) Patient bombards nurse with her concerns, prompting the nurse to rarely interrupt, instead taking mental notes on what she hears.&#10;D) Patient handles extreme apprehension by constantly talking to his nurse, who allows him to calm himself this way, not interrupting while partially listening.

Accepted Answer

The answer of Which is an example of patient-centered communication?&#10;A)...

Question 12

Which of the following is true regarding personal space?&#10;A) Individuals living in a Western culture need 40 square feet of personal space.&#10;B) Direct eye contact causes a need for less space.&#10;C) People need less space when they are anxious.&#10;D) The elderly need more control over their personal space.

Accepted Answer

The answer of Which of the following is true regarding...

Question 13

Which of the following situations is an example of a nurse using empathy?&#10;A) Setting up a rehabilitation placement for a patient addicted to heroin&#10;B) Sitting quietly and holding a patient's hand while she cries following the news that she has inoperable cancer&#10;C) Giving a bed bath to a patient who suffers from a cerebral vascular accident (CVA)&#10;D) Telling a patient all about the fun night at one of the local clubs

Accepted Answer

The answer of Which of the following situations is an...

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&#10;A) nonverbal communication skills.&#10;B) respect for the patient's personal space.&#10;C) respect for the patient's confidentiality.&#10;D) respect for the patient's gender difference.

Accepted Answer

The answer of The nurse knocks on the patient's door...

Question 15

In order to reduce clinical bias in nursing practice, the nurse should&#10;A) memorize beliefs held by different cultures.&#10;B) generalize beliefs based on ethnic membership.&#10;C) develop unconditional acceptance.&#10;D) recognize that individuals of the same religion share the same characteristics.

Accepted Answer

The answer of In order to reduce clinical bias in...

Question 16

Which of the following describes mutual goals?&#10;A) Mutuality is based on patient goals.&#10;B) Mutuality is based on interdisciplinary health team goals.&#10;C) Mutuality is based on the nurse's goals.&#10;D) Mutuality is based on the physician's goals.

Accepted Answer

The answer of Which of the following describes mutual goals?&#10;A)...

Deck 11: Bridges and Barriers in Therapeutic Relationships