NUR 201 EXAM: Therapeutic Relationship/Communication/Techniques/Barriers
Which of the following are nursing qualities that promote therapeutic communication? Select all that apply. A. ability to empathize B. no humor C. confidentiality D. rejection E. professional closeness or distance F. therapeutic use of self
A, C, E, F
Who does the nurse communicate with?
-client -client's family/significant other -other healthcare providers
You are in a personal setting. The personal space is which of the following distances? A. 2 - 4ft B. 1 3/4 - 4 ft C. 1 1/12 - 4 ft D. 2 1/2 - 4 ft
1 1/2 - 4 ft
You are in an intimate setting. The personal space is which of the following distances? A. 1 1/2 ft B. 2 ft C. 1 ft D. 1 3/4 ft
1 1/2 ft
How does basic communication differ from therapeutic communication? Select all that apply. A. goal directed B. nurse and client focused C. judgmental D. descriptive E. defined rules and boundaries F. requires active listening
A, D, E
Which of the following are elements of a therapeutic relationship? Select all that apply. A. clear boundaries B. develops from different encounters C. focus on needs of client's family D. accepting E. focus on client's needs
A, D, E
Which of the following are roles of the Professional Nurse? Select all that apply. A. care giver B. friend C. therapist D. clinical decision maker E. case manager
A, D, E
What are the phases of the Therapeutic Relationship?
1. pre intervention phase 2. orientation phase 3. working phase 4. termination phase
Which of the following is the division of the way your verbal message is conveyed? A. 15% words, 50% body language, 35% tone of voice B. 10% words, 50% body language, 40% tone of voice C. 10% words, 55% body language, 35% tone of voice D. 15% words, 55% body language, 30% tone of voice
10% words, 50% body language, 40% tone of voice
You are in a public setting. The personal space is which of the following distances? A. 10-15 ft B. 8-12 ft C. 12-15 ft D. 12-18 ft
12-15 ft
Which of the following describe the orientation phase in the Therapeutic relationship? Select all that apply. A. nurse and patient meet B. we need to be flexible C. relapse may occur D. discuss confidentiality E. atmosphere is established in which rapport can grow into
A, D, E
Which of the following describe the preinteration phase in the Therapeutic relationship? Select all that apply. A. explore personal feelings/values B. Exchange memories C. evaluate progress D. anticipate health concerns E. identify things patient may need to be educated on
A, D, E
What is the ideal waiting time for a patient to be seen in the ED?
4 hours
You are in a social setting. The personal space is which of the following distances? A. 5-10 ft B. 4-12 ft C. 4-8 ft D. 5-12 ft
4-12 ft
Which of the following are nursing qualities that promote therapeutic communication? Select all that apply. A. sense of humor B. openness C. unconditional positive regard D. self-centered E. lack of confidentiality
A, B, C,
Which of the following describe the working phase in the Therapeutic relationship? Select all that apply. A. solve problems B. accomplish goals C. relapse may occur D. evaluate progress
A, B, D
Which of the following are barriers in the Therapeutic Relationship? Select all that apply. A. lack of personal space B. lack of caring C. gather further information D. violation of confidentiality E. lack of respect
A, B, D, E
Active listening leads to which of the following? Select all that apply. A. recognizing the issue that is most important to the client B. knowing the further questions to ask the client C. wasting thought speed over speak speed D. failing to eliminate or compensate for noise E. understanding the clients perceptions of the issue instead of jumping to conclusions
A, B, E
Which the following are characteristics of nonverbal communication? Select all that apply. A. territoriality and personal space B. eye contact C. vocabulary D. timing E. posture and gait F. gestures
A, B, E, F
Active listening leads to which of the following? Select all that apply. A. interpreting and responding to the message objectively B. reacting to clients physical appearance and speech C. using techniques to guide client to describe his/her perceptions
A, C
Therapeutic communication helps the nurse accomplish which of the following goals? Select all that apply. A. guide client toward identifying a plan of action to an acceptable resolution B. genuineness C. identify clients needs
A, C
Which of the following describe the preinteration phase in the Therapeutic relationship? Select all that apply. A. occurs prior to meeting client B. discuss confidentiality C. review available data D. nurse becomes aware of transference and countertransference issues E. maintain the relationship
A, C
Which of the following describe the termination phase in the Therapeutic relationship? Select all that apply. A. relapse may occur B. solve problems C. discuss ways for patient to incorporate into daily life any new coping strategies learned D. facilitate behavioral change
A, C
Which of the following are theories on Therapeutic Relationship? Select all that apply. A. Peplau's Theory B. Claude's Theory C. Travelbee's Theory D. King's Theory
A, C, D
Which of the following describe boundaries in nursing? Select all that apply. A. guidelines, rules, limits B. friendship C. reasonable, safe, and permissible ways for people to interact D. responses to stepping outside limit
A, C, D
Which of the following describe genuineness? Select all that apply. A. spontaneous B. un-capable of self disclosure C. non defensive D. consistent, does not think or feel one thing but say another
A, C, D
Which of the following describe the termination phase in the Therapeutic relationship? Select all that apply. A. summarize goals and objectives achieved B. evaluate progress C. review situations that may have occurred during relationship D. exchange memories E. identify things patient may need to be educated on
A, C, D
Which of the following describe the working phase in the Therapeutic relationship? Select all that apply. A. maintain the relationship B. terms of termination are introduced C. we need to be flexible D. facilitate behavioral change E. exchange memories
A, C, D
Which of the following describe values? Select all that apply. A. qualities, principles, attitudes, beliefs B. static C. evolving D. essential factors in design and implementation
A, C, D
Which the following are characteristics of verbal communication? Select all that apply. A. vocabulary B. silence C. clarity and brevity D. timing and relevance E. territoriality and personal space
A, C, D
Which of the following are elements of a therapeutic relationship? Select all that apply. A. confidentiality B. difference in use of communication skills C. structured-goal-oriented D. intimate and on-going E. self-awareness
A, C, E
Which the following are characteristics of verbal communication? Select all that apply. A. intonation B. use of touch C. pace D. posture and gait E. denotative and connotative meanings
A, C, E
The nurse observes an adolescent client's peers calling the client names. Which statement by the nurse exemplifies the concept of empathy? A. "I can see that you are upset. Tell me how you feel" B. "Your peers are being insensitive. I would be upset also" C. "I used to be called names as a child. I know it can hurt feelings" D. "I get angry when people are treated cruelly"
A. "I can see that you are upset. Tell me how you feel"
Which of the following are elements of a therapeutic relationship? Select all that apply. A. chit chat B. purposeful communication C. goal direction D. friendship E. false reassurance
B, C
Which of the following are elements of a therapeutic relationship? Select all that apply. A. exclusive B. confrontation C. respect D. transference E. countertransference F. insincere
B, C, D, E
Which the following are characteristics of nonverbal communication? Select all that apply. A. pace B. sounds C. silence D. intonation E. personal appearance
B, C, E
Which of the following are barriers in the Therapeutic Relationship? Select all that apply. A. respect B. mistrust C. anxiety D. progress E. share information F. stereotyping
B, C, F
Which of the following are roles of the Professional Nurse? Select all that apply. A. diagnosing patients B. protector and client advocate C. ward clerks D. comforter E. teacher
B, D, E
Which of the following describe the orientation phase in the Therapeutic relationship? Select all that apply. A. review available data B. nurse's role is clarified C. responsibilities of both patient and nurse are defined D. facilitate behavioral change E. terms of termination are introduced F. nurse becomes aware of transference and countertransference issues
B, D, E, F
Therapeutic communication helps the nurse accomplish which of the following goals? Select all that apply. A. establish a basic nurse-client relationship B. assess the client's perception of the need C. self-awareness and self-reflection D. implement interventions designed to address the clients needs E. openness F. teach the client and family necessary self-care skilled
B, D, F
The nurse is attempting to establish a therapeutic relationship with an angry, depressed client. Which is the most appropriate nursing intervention? A. Use humor to defuse emotionally charged topics of discussion B. Show respect that is not based on the client's behavior C. sympathize with the client when the client shares sad feelings. D. Work on establishing a friendship with the client
B. Show respect that is not based on the client's behavior
Which of the following are actions of being physically present during communication? A. lean away from person B. tense C. open posture D. relaxation E. face other person squarely F. maintain good eye contact
C, D, E, F
"I don't know the answer right now, but I will find out in about an hour". This is an example of being honest with a client which is essential in: A. believing that you are a competent nurse B. helping the client with termination C. developing a trusting relationship with the client D. developing a friendship with the client
C. developing a trusting relationship with the client
Your patient reminds you about someone from your past that may be related to your own unconscious or repressed emotions, feelings, and experiences. This is an example of which of the following? A. countertransference B. transference C. genuineness D. confrontation
countertransference
This Therapeutic Communication Technique asks broad questions that lead or invite the client to explore thoughts or feelings. A. providing general leads B. perception checking C. presenting reality D. open-ended questions
open-ended questions
A client states, "I want to learn better ways to handle my ager." This interaction is most likely to occur in which phase of the nurse-client relationship? A. Preinteraction Phase B. Orientation Phase C. Working Phase D. Termination Phase
orientation phase
"verbal and nonverbal" is an example of which of the following factors that influence the communication process? A. development B. gender C. values and perceptions D. personal space E. territoriality F. roles and relationships G. environment H. congruence I. interpersonal attitudes
congruence
What does a therapeutic relationship promote?
a psychological climate that facilities positive change and growth
Which of the following phase of the Therapeutic Relationship has the goal of establishing trust; formulating contract for intervention? A. Preinteraction Phase B. Orientation Phase C. Working Phase D. Termination Phase
orientation phase
Why is it important for you as a new nose to examine and clarify your personal values?
because every person deserves our best care no matter how they got there
"Rate your pain on a scale of 0 to 10." "You seem unconcerned about your diabetes" are examples of which therapeutic communication technique?
being specific and tentative
This Therapeutic Communication Technique makes statements that are specific rather than general, and tentative rather than absolute. A. seeking clarification B. Focusing C. giving information D. being specific and tentative
being specific and tentative
This characteristic of verbal communication is using simple statements that are brief and direct. A. vocabulary B. denotative and connotative meanings C. paces D. intonation E. clarity and brevity F. timing and relevance
clarity and brevity
Which of the following are roles of the Professional Nurse? Select all that apply. A. Meet client AND nurses goals B. communicator C. rehabilitator
communicator and rehabilitator
an ethical obligation to share medical information about a person only with other persons who have a professional need to know the person;s health status
confidentiality
You have a patient with type II diabetes and know that they are trying to lose weight, but saw their family visited and brought them unhealthy snacks. What skill will you use with your patient? A. Respect B. Genuineness C. Confrontation D. Transference E. Countertransference
confrontation
Talking fast to your client would violate this verbal communication skill. A. vocabulary B. denotative and connotative meanings C. paces D. intonation E. clarity and brevity F. timing and relevance
pace
This characteristic of verbal communication is not using the same words that can have different meanings, and the emotional responses they may trigger. A. vocabulary B. denotative and connotative meanings C. paces D. intonation E. clarity and brevity F. timing and relevance
denotative and connotative meanings
"important to know what developmental stage they are in" is an example of which of the following factors that influence the communication process? A. development B. gender C. values and perceptions D. personal space E. territoriality F. roles and relationships G. environment H. congruence I. interpersonal attitudes
development
the ability to walk in someones shoes, an intellectual process that involves understanding correctly another person's emotional state and point of view
empathy
"privacy, good temp, no noise" is an example of which of the following factors that influence the communication process? A. development B. gender C. values and perceptions D. personal space E. territoriality F. roles and relationships G. environment H. congruence I. interpersonal attitudes
environment
"men and women communicate differently" is an example of which of the following factors that influence the communication process? A. development B. gender C. values and perceptions D. personal space E. territoriality F. roles and relationships G. environment H. congruence I. interpersonal attitudes
gender
The nurse's ability to be open, honest, and real in interactions with clients is describes as which characteristic that enhances the achievement of the nurse-client relationship? A. Empathy B. Objectivity C. Genuineness D. Harmony
genuineness
"I really appreciates this and that you thought about me, but this is a violation of our policies" is a response to which of the following indicators of boundary issues? A. sharing personal information with the patient B. gift giving C. spending more time than needed with the patient D. keeping secrets E. the nurse feeling that she/he is the only one that understands the patient
gift giving
"caring, warm and respectful" is an example of which of the following factors that influence the communication process? A. development B. gender C. values and perceptions D. personal space E. territoriality F. roles and relationships G. environment H. congruence I. interpersonal attitudes
interpersonal attitudes
You are about to see your new client and you think about how you are going to interact with him/her, what to ask them, and how to ask it. This in an example of which of the following skills for successful therapeutic relationships? A. Interpersonal skills B. personal insight C. accountability D. mutual respect E. supportive working milieu/environment
interpersonal skills
What are the requirements for successful therapeutic relationships?
interpersonal skills personal insight accountability mutual respect supportive working milieu/environment
This characteristic of verbal communication relies on the tone of voice, it can dramatically affect the meaning of the message. A. vocabulary B. denotative and connotative meanings C. paces D. intonation E. clarity and brevity F. timing and relevance
intonation
This indicator of boundaries should NEVER be done. A. sharing personal information with the patient B. gift giving C. spending more time than needed with the patient D. keeping secrets E. the nurse feeling that she/he is the only one that understands the patient
keeping secrets
Brief verbal statements that indicate interest such as "Please go on," "Tell me more about that" are examples of which therapeutic communication skill? A. Empathy B. Respect C. Transference D. Listening
listening
communication that is a set of behaviors that conveys messages either without words, gestures, facial expressions, and touch
non-verbal communication
"I'd like to hear more about that." "Tell me about..." "how have you been feeling lately?" "what is your opinion?" are examples of which therapeutic communication technique?
open-ended questions
You are about to see your new clients and you think about your own beliefs and values, and what about that patient may be bothering you. This is an example of which of the following skills for successful therapeutic relationships? A. Interpersonal skills B. personal insight C. accountability D. mutual respect E. supportive working milieu/environment
personal insight
Which of the following phase of the Therapeutic Relationship has the goal of exploring self-perceptions? A. Preinteraction Phase B. Orientation Phase C. Working Phase D. Termination Phase
pre interaction phase
"Can you tell me how it is for you?" "Perhaps you would like to talk about..." "Would it help to discuss your feelings?" "Where would you like to begin?" are examples of which therapeutic communication technique?
providing general leads
This Therapeutic Communication Technique uses statements or questions that either encourage the client to verbalize, choose a topic of conversation, or facilitate continues verbalization. A. using open-ended questions B. seeking clarification C. providing general leads D. perception checking
providing general leads
A nursing student has a special feeling toward a client that is based on acceptance, warmth, and a nonjudgemental attitude. The student is experiencing which characteristic that enhances the achievement of the nurse-client relationship? A. Trust B. Respect C. professionalism D. Rapport
rapport
a relaxed, warm relationship of mutual respect, harmony and an affinity between people in a relationship
rapport
must show this for the client's willingness to be available, desire to work with the patient, and a manner that conveys the idea of taking the patient's point of view seriously
respect
This Therapeutic Communication Technique actively listens for the client's basic message and then repeats those thoughts and/or feelings in similar words. A. perception checking B. summarizing C. focusing D. restating/paraphrasing
restating/paraphrasing
This is when your provide personal information or intimate details about oneself or one's life and is generally discouraged because the focus of any interaction should be on the client and not the nurse.
self disclosure
This indicator of boundaries should only be done if it is to benefit the patient. A. sharing personal information with the patient B. gift giving C. spending more time than needed with the patient D. keeping secrets E. the nurse feeling that she/he is the only one that understands the patient
sharing personal information with he patient
We can not always promise total confidentiality to our patients. When would this be the case?
suicidal/harm to others
You meet with your client, and you make sure you and your client are both comfortable, stay focused on the client's goals, and do not have any distractions. This is an example of which of the following skills for successful therapeutic relationships? A. Interpersonal skills B. personal insight C. accountability D. mutual respect E. supportive working milieu/environment
supportive working milieu/environment
Which of the following phase of the Therapeutic Relationship has the goal of evaluating goal attainment; ensure therapeutic closure? A. Preinteraction Phase B. Orientation Phase C. Working Phase D. Termination Phase
termination phase
Clients in hospital care are often very concerned about their space because they don't have much of it. They feel very vulnerable. Which nonverbal communication technical can comply with their feelings? A. gestures B. facial expression C. eye contact D. posture and gait E. personal appearance F. use of touch G. silence H. sounds I. territoriality and personal space
territoriality and personal space
This indicator of boundaries may imply that there is a problem in the therapeutic relationship between the nurse and client. A. sharing personal information with the patient B. gift giving C. spending more time than needed with the patient D. keeping secrets E. the nurse feeling that she/he is the only one that understands the patient
the nurse feeling that she/he is the only one that understands the patient
the application of one's cognitions, perceptions, and behaviors to create interpersonal encounters that promote health in another person, family, group, or community
therapeutic use of self
What does the relationship between the nurse and client solely exist for?
to meet the needs of the client
You remind your patient about someone from their past that may be related to their own unconscious or repressed emotions, feelings, and experiences . This is an example of which of the following? A. countertransference B. transference C. genuineness D. confrontation
transference
What is a therapeutic relationship based on?
trust
when you have a strong relationship with your client and can get more information out of them, reliance on someone without doubt or question
trust
learning to value and care for clients simply because their humanity warrants your care
unconditional regard
This nonverbal communication technique can be positive or negative, always ask first. A. gestures B. facial expression C. eye contact D. posture and gait E. personal appearance F. use of touch G. silence H. sounds I. territoriality and personal space
use of touch
This Therapeutic Communication Technique allows the verbal conversation to stop and provide a time for reflection of what has been discussed. A. perception checking B. using silence C. focusing D. reflecting E. offering self
using silence
a personal belief about the worth of a given idea, attitude, custom, or object that sets standards that influence behavior
values
communication that involves the use of words to convey messages. includes speaking and writing
verbal communication
This characteristic of verbal communication is not successful if receiver and sender are not speaking the same way (medical jargon, age, etc). A. vocabulary B. denotative and connotative meanings C. paces D. intonation E. clarity and brevity F. timing and relevance
vocabulary
What happens when your values and your client's values conflict?
we need to find a way to compromise, talk to someone, maybe switch clients
Which of the following phase of the Therapeutic Relationship has the goal of promoting client change? A. Preinteraction Phase B. Orientation Phase C. Working Phase D. Termination Phase
working phase
