Prof Comm Quiz 2

grow, change, and heal

An experienced nurse takes pride in the therapeutic use of self. Nurse-client relationships are meaningful to both the nurse and the client. Nurses that have use of self skills help clients do which of the following?

In a quiet corner of the dayroom at least 4 feet away from others

A client has been making sexual comments when communicating with the nurse. The nurse wants to spend some time talking to the client while respecting the client's right to privacy. Which setting would be the most appropriate setting for the nurse to talk with this client?

You say you haven't seen your family in a while

A client says, "It's been so long since I've been with my family." Which statement by the nurse is an example of restating?

defining boundaries

A client who had been in a substance abuse treatment program asks the nurse for a date after the client is discharged. The nurse talks to the client about the importance of a therapeutic relationship and its characteristics. The nurse is using which of the following techniques?

the nurse is open to others

A nurse is using the Johari window to identify the degree to which he feels comfortable communicating with others. After completing the exercise, the nurse discovers that quadrant 1 has the longest list of qualities. This indicates which of the following about the nurse?

Johari window

A tool the nurse uses to learn more about his or her qualities and communication with others is called?

encouraging the client to clarify feelings and behavior

During the working phase of a therapeutic relationship, which of the following actions by the nurse would best help the client to explore problems?

I'm sorry, but I can't keep that kind of secret

During a regular home health visit to an elderly client, the nurse observes that the client has feelings of hopelessness and despair. The client says, "I'm old, and my life has no purpose anymore. But promise me you won't tell anyone." How would the nurse respond?

giving advice

During a session with a client, the client asks the nurse what she should so about her "cheating" husband. The nurse replies, "You should divorce him. You deserve better than that." The nurse used which non-therapeutic communication technique?

Defending

The client expresses frustration that the doctor does not spend enough time with her when making rounds. The nurse replies, "The doctors are very busy. What can I help you with?" The nurse incorporated which nontherapeutic technique in this response?

because some clients with mental illness have difficulty knowing when touch is or is not appropriate

The client frequently attempts to touch the nurse and the nurse has explained the prohibition against this. Which of the following is the best reason that many psychiatric care units have policies against clients touching one another or staff?

sit quietly until the patient responds

The nurse asks the client, "What was it like for you when you first knew you had no place to go?" The client looks down and pauses for quite some time. Which action by the nurse is most therapeutic?

holding a prejudice toward this client

The nurse fails to assess personal values surrounding homosexuality before caring for a client who is openly gay. The nurse is most at risk for which of the following when working with this client?

facilitate a positive change

The nurse initiating a therapeutic relationship with a client should explain the purpose, which is to...

identify problems to examine

The nurse is meeting with her client for the first time. During the orientation phase of the nurse-client relationship, the nurse directs the client to do which of the following?

sitting upright facing the client with both feet on the floor

The nurse is sitting down with a client to begin a conversation. Which of the following positions should the nurse take to convey acceptance of the client?

Values

The nurse must be able to make decisions that are based on the principles of right and wrong. What is the standard for establishing such a code of conduct for living?

You feel like your world is falling apart right now

The nurse understands that empathy is essential to the therapeutic relationship. When a client makes the statement, "I am just devastated that my marriage is falling apart"; the nurse can best show empathy through which of the following responses?

assess the client's perception of a problem

The nurse uses a variety of therapeutic communication skills when working with clients. Which of the following is a therapeutic goal that can be accomplished through the use of therapeutic communication skills?

Broad opening

The nurse using therapeutic communication asks the client what he would like to talk about. This is an example of which of the following?

nonverbal communication is as important, if not more than, verbal communication

The nurse watched the expressions the client is making as the group therapy is conducted. Which of the following statements about verbal and nonverbal communication skills is accurate?

The student nurse must tell the client that the student nurse cannot keep that secret and then report it to the instructor and/or staff members.

What would be the most appropriate action by the student nurse when the client asked the student nurse to keep it a secret that the client plans to kill a family member?

Empathy

Which of the following is the most important skill the nurse must bring to the therapeutic nurse-client relationship?

it is avoiding judgments of the person, no matter what the behavior is

Which of the following statements is true of the component of a therapeutic relationship termed "acceptance"?

establish a therapeutic nurse-client relationship

Which one of the following goals of therapeutic communication would the nurse strive to attain first?