Chapter 11 Therapeutic Communication and Relationships

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Chapter 11  Therapeutic Communication and Relationships

 

 

Complete Chapter Questions And Answers
 

Sample Questions

 

 

I can.”
A)
“Please calm down; everything is going to be better.”
B)
“There is nothing to be so upset about.”
C)
“I wish you could try to be more positive.”
D)
“You look like you are very angry this morning.”
Ans:
D

Feedback:

The correct answer provides reflection of the client’s affect (angry). Telling the client to calm down is a platitude, telling the client that there is nothing to be upset about denies the client’s feelings, and urging the client to be positive is stated in terms of the nurse’s needs and ignores the feelings of the client. Reflection of the client’s feelings, mood, and affect is therapeutic in assisting the client to understand himself or herself.

2.
When comparing social interactions with therapeutic interactions, the nurse understands that therapeutic interactions do what?
A)
Are personal and intimate
B)
Involve doing favors for others
C)
Encourage personal goal setting
D)
Create constructive dependencies
Ans:
C

Feedback:

Therapeutic interactions are designed specifically to encourage the client to engage in personal goal setting. The other options are all inappropriate activities for the nurse–client relationship.

3.
Which of the following would indicate that the nurse–client relationship has passed from the orienting phase to the working phase?
A)
The client has revitalized her relationship with her sister.
B)
The nurse has designated a specific time each day to interact with the client.
C)
The client expresses a desire to be mothered and pampered.
D)
The client recognizes feelings of anger and expresses them appropriately.
Ans:
D

Feedback:

When the client can begin to recognize feelings and talk about them, the relationship has moved into a working phase.

4.
Which of the following statements by the nurse reflect the use of therapeutic interaction techniques?
A)
“You look upset. Would you like to talk about it?”
B)
“I’d like to know more about your children. Tell me about them.”
C)
“I understand your husband passed away. I couldn’t bear that.”
D)
“You look very sad. How long have you been this way? Have you been taking care of yourself?”
Ans:
A

Feedback:

The correct answer reflects validation of the client’s feelings and further exploration. Asking about the client’s children seeks more information, while discussing the death of the client’s husband reveals personal information and a nonhelpful personal reflection by the nurse. Asking multiple questions may be confusing.

5.
A nurse interviews a new client in the dayroom of the psychiatric unit. The nurse is wearing her jacket and a purse on her shoulder and frequently asks the client to repeat his last statement. Your assessment of the nurse’s attitude is what?
A)
She is interested in the client but does not want to record incorrect information.
B)
She is concerned about her appearance and professional image.
C)
She would prefer to be someplace else.
D)
She considers socialization with her client to be important.
Ans:
C

Feedback:

The nurse’s nonverbal behavior conveys that she is disinterested in talking with the client. This is a nontherapeutic interaction, because the client will perceive that the nurse is not interested and may also feel uncared about and unimportant.

 

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