Psychiatric Nursing, 7th Edition by Norman L. Keltner - Debbie Steele
Psychiatric Nursing, 7th Edition by Norman L. Keltner - Debbie Steele
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Chapter 08: Learning to Communicate Professionally
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| a. | Helpful transference |
| b. | Sympathetic listening |
| c. | Supportive confrontation |
| d. | Therapeutic communication |
ANS: D
Therapeutic communication provides the basis for effective use of each stage of the nursing process, as explained by the authors. The other options are skills basic to effective use of the nursing process.
DIF: Cognitive level: Understanding REF: p. 79
TOP: Nursing process: Implementation MSC: NCLEX: Psychosocial Integrity
| a. | Patients are usually aware of their nonverbal cues. |
| b. | Verbal responses are more important than nonverbal cues. |
| c. | Nonverbal cues have obvious meaning and are easily interpreted. |
| d. | Nonverbal cues provide significant information but must be validated. |
ANS: D
Body language has meaning, but meaning cannot be globally ascribed. Validation with the individual is necessary to accurate interpretation. The other options are incorrect.
DIF: Cognitive level: Understanding REF: p. 78
TOP: Nursing process: Assessment MSC: NCLEX: Psychosocial Integrity
| a. | arranging the chairs side by side, about 2 feet apart. |
| b. | sitting at eye level across the table from the patient. |
| c. | standing a few feet away from where the patient sits. |
| d. | talking in the patient’s room with the door closed. |
ANS: B
Suspicious patients require increased personal space. Sitting across the table provides that space. Being at the same eye level fosters communication. Side-by-side placement of chairs might not give the suspicious patient the ability to watch the nurse closely enough for comfort. Being in a closed room might be threatening to the patient.
DIF: Cognitive level: Applying REF: p. 78
TOP: Nursing process: Implementation MSC: NCLEX: Psychosocial Integrity
| a. | “I notice you keep looking toward the door.” |
| b. | “This is our time together. No one is going to interrupt us.” |
| c. | “It looks as if you are eager to end our discussion for today.” |
| d. | “If you are uncomfortable in this room, we can move someplace else.” |
ANS: A
Making observations and encouraging the patient to describe perceptions are useful therapeutic communication techniques for this situation. The other responses are assumptions made by the nurse.
DIF: Cognitive level: Analyzing REF: p. 79
TOP: Nursing process: Implementation MSC: NCLEX: Psychosocial Integrity
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