Chapter 04 The Therapeutic Relationship

Chapter 04  The Therapeutic Relationship

Complete Chapter Questions And Answers
 

Sample Questions

MULTIPLE CHOICE
1. Specify which characteristic of the therapeutic relationship is described in the following scenario: A client has been admitted to Ward 2B. In talking with the client, the nurse is able to elicit from her that the reason for her hospitalization is that her husband beat her up.
a.
Empathy
b.
Trust
c.
Rapport
d.
Purposeful communication

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

DIF: Cognitive Level: Application REF: 104

2. Which of the following statements is true of values?
a.
It is impossible for someone to understand his or her values.
b.
Values evolve over time; they are not static.
c.
Values assimilated in childhood are values held for a lifetime.
d.
Values clarification tells a person how to act.

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

DIF: Cognitive Level: Knowledge REF: 92-93

3. Select the statement that best applies to the following scenario: The nurse shares with her client the news that she, the nurse, is going to be married soon and tells the client about her wedding plans.
a.
It is inappropriate for a nurse to share at this personal level with a client.
b.
The nurse is exhibiting a communication technique called self-disclosure.
c.
The nurse is attempting to show empathy with her client.
d.
The nurse is violating client confidentiality rights of the Health Insurance Portability and Accountability Act (HIPAA).

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

DIF: Cognitive Level: Application REF: 95-96

4. Which of the following scenarios best describes person-centered communication?
a.
Nurse A says to her client, “Why do you continue to drink when you know that it is not good for you?”
b.
Nurse B responds to her client’s request for pain medicine by saying, “It is not time for your pain medicine. You had it 3 1/2 hours ago.”
c.
The client says to Nurse C, “I think my husband is cheating on me.” Nurse C responds by saying, “You think your husband is cheating on you?”
d.
Nurse D says to the client, “I know someone with the same kind of cancer that you have, and she had to have chemotherapy.”

ANS: C
Nurse C recognizes that her client has some concerns that she would like to discuss and paraphrases her statement to give her client the opportunity to elaborate on thoughts that are important to the client.

DIF: Cognitive Level: Synthesis REF: 97-98

5. Which of the following is true of nonverbal communication?
a.
Nonverbal behavior is not usually contextual
b.
Nonverbal behavior is culturally and situationally bound
c.
Nonverbal communication is the most important of the three types of communication
d.
Nonverbal communication is easy to interpret

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

DIF: Cognitive Level: Knowledge REF: 99