Question 1

Which of the following statements about values is true?

Accepted Answer

Values take time to develop, and they may change with education, experience, exposure, or a combination of these.

Question 2

A nurse is working with a person to increase his daily exercise and activity.Which of the following statements by the nurse best demonstrates the use of reflection?

Accepted Answer

Reflection is the restatement of what the individual has said in the same or different words.This technique can involve paraphrasing or summarizing the person's main point to indicate interest and to focus the discussion.It is the selective paraphrasing or literal repetition of the person's words to underscore the importance of what has been said, summarize a main concern or theme, or elicit elaborated information.

Question 3

Which of the following is the first step in the valuing process?

Accepted Answer

The seven-step valuing process involves (1) choosing freely, 
(2) choosing from alternatives, 
(3) choosing after careful consideration of potential outcomes of each alternative, 
(4) cherishing and being happy with personal beliefs and actions,
 (5) affirming the choice in public, when appropriate, 
(6) acting out the choice, and 
(7) repeatedly acting in some type of pattern.

Question 4

Which of the following scenarios best describes a nurse using metacommunication?

Accepted Answer

Metacommunication refers to a message about the message.It is the relationship aspect of communication.In a sense, it involves reading between the lines or going past the surface content of the message to glean nuances of meaning.

Question 5

An individual reveals to the nurse that he is having an affair with his wife's best friend.Which of the following statements will enhance effective therapeutic communication between him and the nurse?

Accepted Answer

The nurse is seeking to determine the care recipient's own feelings about his affair.By seeking feedback, the nurse helps explain the meaning further.The nurse suspends judgment and responds in such a way as to encourage him to keep talking rather than make judgments about his behavior, which would shut down communication.

Question 6

Which of the following best describes person-centered communication?

Accepted Answer

The nurse recognizes that the person seeking care has some concerns that she would like to discuss and paraphrases her statement to give the person an opportunity to elaborate on thoughts that are important to him or her.

Question 7

The nurse makes sure that the distance between himself and the care recipient is at least 6 feet before he begins to ask questions related to the care recipient's health history.Which of the following statements is true?

Accepted Answer

Personal space of 18 inches to 4 feet is appropriate for close relationships in which touching may be involved and good visualization is desired.

Question 8

A nurse and a man are involved in a conversation.When the person folds his arms across his chest, the nurse almost simultaneously folds her arms across her chest.This behavior is recognized as

Accepted Answer

The patterning of similar activities within the same interval by two people can facilitate communication.This patterning is known as reciprocity.

Question 9

The nurse shares with her care recipient the news that she, the nurse, is going to be married soon and tells the care recipient about her wedding plans.Which of the following best describes the nurse's actions?

Accepted Answer

Sharing aspects of the self enriches interpersonal life and is a use of the technique labeled self-disclosure.

Question 10

Which of the following statements can be identified as a method for clarifying a message?

Accepted Answer

Use of "I" statements is one technique that can be used for clarifying and qualifying messages.

Question 11

Which of the following statements is correct concerning Telehealth?

Accepted Answer

Telehealth as well as Internet health is becoming increasingly widespread.It can involve spoken or written forms of communication.The use of this modality is not limited to any one phase of healthcare delivery.Confidentiality would apply to telehealth and Internet health just as it would in face-to-face scenarios.Safeguards to protect patient confidentiality can be, in fact, put into place to protect confidentiality in either setting.There is no reason to limit its use in the interest of maintaining confidentiality."Increasingly, communication is electron.Telehealth, mhealth (i.e., mobile health), or ihealth (i.e., Internet health)-the use of telecommunications and data technologies to deliver health care services including assessment/diagnostic services treatment, consultation, and health information across platforms-is rapidly growing as a communication/intervention system.Such electronic communication can encompass the spoken and written word, and nonverbal forms of communication.Using technology to engage patients in clinical communications is already in place with potential for future development and brings its own challenges."

Question 12

A woman tells the nurse that she is very nervous about their meeting today.Which of the following relationship stages are the nurse and woman most likely experiencing?

Accepted Answer

The orientation phase begins when the nurse and individual meet.This meeting typically involves some feeling of anxiety because neither party knows what to expect.

Question 13

A nurse is counseling someone who has recently been diagnosed with diabetes.The nurse says, "Tell me more about how this diagnosis has affected your daily activities." Which of the following best describes the type of communication the nurse is using?

Accepted Answer

Verbal communication is the transmission of messages using words, spoken or written.Nonverbal communication encompasses all messages that are not spoken or written.Metacommunication refers to a message about the message, the relationship aspect of communication.

Question 14

Which of the following statements about nonverbal communication is true?

Accepted Answer

Cultural exposure and situational impact are essential components of interpreting nonverbal communication and must be taken into consideration in attempts to interpret nonverbal communication.

Question 15

A nurse and her care recipient are engaged in meaningful conversation when suddenly there is silence between the two.To facilitate effective care recipient-centered communication, the nurse should

Accepted Answer

Silence allows the person to reflect on what is being discussed or experienced and lets him or her know that the nurse is willing to wait until he or she is ready to say more.

Question 16

A nurse has started admitting a new person on home care and is beginning to establish a relationship.Which of the following would be the most important thing for the nurse to do?

Accepted Answer

Communication is the foundation for any professional relationship.It is the cornerstone of a positive nurse-person relationship.It refers to a set of strategies and actions to enhance reciprocity, mutual understanding, and decision-making.

Question 17

A nurse is providing education about improving self-awareness to a small group of women who have been victims of domestic violence.Which of the following should the nurse recommend the care recipients do first to improve their self-awareness?

Accepted Answer

To achieve a high self-awareness, three steps must be taken.The first step is listening to oneself and paying attention to emotions, thoughts, memories, reactions, and impulses.The second step is listening to and learning from others.The third step is using self-disclosure to share aspects of self.

Question 18

Which of the following would be an example of countertransference occurring in the context of a professional relationship?

Accepted Answer

Transference is a process where the patient is responding to the nurse (or other healthcare provider) as though the provider were someone from the patient's past.This process is sometimes called distortion.Choices a and b are examples of transference, as they describe reactions on the part of the patient.Countertransference is a scenario where the nurse (or other provider) is reacting to the patient as though the patient was someone from the provider's past.Choice C is consistent with this concept.Choice d involves a healthcare provider who is offended by the patient's racist humor.There is no mention in this choice of someone from the nurse's past who had a similar offensive sense of humor.Countertransference basically is the same phenomenon and involves distorting, but it is experienced by the health care professional rather than the person.The nurse experiences many feelings toward the person; these feelings are not problematic, unless they remain unanalyzed and block the nurse's ability to work effectively with the individual.

Question 19

Which of the following scenarios described is correct concerning feedback?

Accepted Answer

Feedback is an important facet of therapeutic communication.It allows the provider to modify the interaction in response to the patient's response and reaction, thus tailoring therapy in a manner which best serves the patient.Both positive and negative feedback are useful in this capacity.Both can be productive.Feedback fosters a dynamic versus a static scenario.Homeostasis is not a therapeutic goal in this context.The following information concerning feedback in the context of therapeutic communication: "A new information exchange is triggered at this point in the cycle by the response called feedback, a monitoring system through which the person or group controls the internal and external responses to behavior (output) and accommodates these responses appropriately.A feedback loop shows the dynamic nature of communication.Each piece of communication is both a stimulus designed to elicit a response and a response to a different stimulus….(positive and negative feedback)" Rather than meaning "good" or "bad," positive feedback and negative feedback refer to promotion of system change and stability, which is the process of balancing the direction and magnitude of change.Both types of feedback are needed, depending on the situation.The situational context of communication is important.

Question 20

A person has just been admitted to the hospital.In talking with the person, the nurse is able to elicit from her that the reason for her hospitalization is that her husband beat her up.Which characteristic of the therapeutic relationship is being demonstrated?

Accepted Answer

The nurse focuses communication for a particular aim: to obtain information to be used in care of the person.

Quiz 4: The Therapeutic Relationship