Deck 4: Communication

Question 1

You overheard Jane telling her mother that she is afraid to ride over the bridge,and Jane's mother responds,"Don't be silly.Let's go." This is an example of:

A) Stereotyping
B) Belittling
C) Giving advice
D) Giving false reassurance

Answer 1

Belittling

Question 2

Communication is the:

A) Last step in the nursing process
B) Most vital link between diagnosis and disease
C) Exchange of information and ideas
D) Basis for all thinking processes

Answer 2

Exchange of information and ideas

Question 3

The communication style that serves to empower the individual is:

A) Assertive
B) Unassertive
C) Aggressive
D) Passive

Answer 3

Assertive

Question 4

After completing morning care for Sarah,an 83-year-old patient in the nursing home,she states,"You are the only one who takes the time to care for me." Your best response would be:

A) "You are still complaining,Sarah."
B) "You feel others don't take the time?"
C) "You are such a worrier."
D) "Sarah,you know that's not true."

Question 5

A form of verbal communication is:

A) Body language
B) Gestures
C) Appearance
D) Words

Question 6

Which of the following describes nonverbal behavior?

A) Gestures
B) Spoken word
C) Tone of voice
D) Aggressive style

Question 7

A professional appearance by the health-care worker can communicate:

A) Incompetence
B) Uncaring
C) Pride
D) Acceptance

Question 8

Which of the following behaviors by your patient indicates a willingness to communicate?

A) Downcast eyes
B) Face toward you
C) Legs tightly crossed
D) Slumping posture

Question 9

Understanding the patient's feelings and viewing the world as the patient does describes:

A) Sympathy
B) Empathy
C) Positive regard
D) Congruence

Question 10

Active listening requires an active mind and:

A) Closed posture
B) Leaning forward toward the patient
C) Staring intently at the patient
D) Sitting alongside the patient

Question 11

Mary,an elderly patient in the nursing home,states,"They are not doing anything to help me." Your best response would be:

A) "Don't worry.You will feel better soon."
B) "What do you want us to do?"
C) "We are taking good care of you."
D) "Describe when you began feeling this way."

Question 12

Periods of silence during the communication process allow the health-care worker to:

A) Redirect the patient
B) Observe nonverbal behavior
C) Relieve the patient's anxiety
D) Minimize rejection

Question 13

Being yourself as well as being open and truthful describe:

A) Warmth
B) Listening
C) Genuineness
D) Positive regard

Question 14

The person who interprets the message is called the:

A) Sender
B) Receiver
C) Method
D) Process

Question 15

Agreement between spoken words and body language describes:

A) Congruence
B) Empathy
C) Positive regard
D) Validation

Question 16

You observe Sally communicating with 80-year-old Gerry,who is hearing impaired.The technique used is satisfactory if Sally:

A) Speaks to Gerry from his doorway
B) Speaks to Gerry in a loud tone
C) Speaks with Gerry in a darkened room
D) Asks Gerry for feedback verbally or in writing

Question 17

Part of the communication process is:

A) Emotions
B) Mental
C) Physical
D) Feedback

Question 18

John,age 54,is admitted for day surgery and is anxious and tense during the procedure.How would you respond?

A) "Calm down.You will be fine."
B) "You will only need light anesthesia."
C) "You're not dying.Why are you thinking this way?"
D) "You seem to be concerned about the surgery."

Question 19

Therapeutic communication:

A) Serves the needs of both participants
B) Involves equal sharing of thoughts and feelings
C) Is light and superficial in nature
D) Promotes trust and a good rapport

Question 20

Gaining insight into your personal feelings is an example of:

A) Empathy
B) Biases
C) Proxemics
D) Self-awareness

Question 21

Touching a client suddenly without warning may be interpreted as:

A) Affectionate
B) Invasive
C) Empathic
D) Comforting

Question 22

Which open-ended question would best help a person describe his or her pain?

A) "Do you have a lot of pain?"
B) "Does it hurt when you walk?"
C) "Is your pain sharp?"
D) "Describe what your pain is like."

Question 23

The caregiver says,"I'm not sure of the answer to your question." This response indicates that the caregiver is:

A) Evasive
B) Uninformed
C) Genuine
D) Nontherapeutic

Question 24

The caregiver notices that one of her patients is in her room crying.The caregiver's best response is:

A) "I'm sure things will get better."
B) "A good cry will make you feel better."
C) "It may help to talk about what is upsetting you."
D) "Crying is just a waste of time."

Question 25

Agreeing,providing false reassurance,and changing the subject can be blocks to therapeutic communication.

Question 26

Touch has different meanings to different individuals.

Question 27

When a health-care worker changes the subject during a patient interaction,the result may:

A) Foster support of the client
B) Reduce the health-care worker's anxiety
C) Add emphasis to the message
D) Build trust

Question 28

Your patient is usually very verbal.Today the caregiver notes that the patient is withdrawn and quiet.The best caregiver action is to:

A) Allow the patient to have privacy and time alone.
B) Attempt to offer light,superficial conversation.
C) State that "you need to talk about your problems."
D) Spend time with her and continue to observe her behavior.

Question 29

Which of the following comments would be nontherapeutic? (Select all that apply.)

A) "You should stop smoking."
B) "Why are you always complaining?"
C) "I think you are making the right decision."
D) "How are you feeling about this?"
E) "Let's talk about happier times."

Question 30

Touch can elicit both negative and positive reactions,depending on cultural interpretation.

Question 31

Which of the following influences how a message is interpreted when a nurse is communicating with a patient? (Select all that apply.)

A) Age
B) Feelings
C) Gender
D) Attitude
E) Past experience
F) None of above

Question 32

The intonation of a person's voice gives clues to the true emotional meaning of the message.

Question 33

Telling a client that you know exactly what the client is going through is an example of:

A) False reassurance
B) Giving advice
C) Stereotyping
D) Agreeing