Chapter 10: Therapeutic Communication

Chapter 10: Therapeutic Communication

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1. A male client with a diagnosis of schizophrenia begins to have hallucinations during a conversation with the nurse; this prevents him from receiving the message that the nurse is trying to communicate to him. According to Ruesch’s theory of communication, this unsuccessful interaction is called _____ communication.

ANS:  A

Ruesch called this type of interrupted communication disturbed communication. In addition to interference with receiving a message, as in the case of this client, the term applies to interference with the sending of messages, problems in language between people, insufficient information, and lack of the opportunity for feedback. Ruesch’s theory did not coin the term nontherapeutic or blocked communication, and this interaction would not be considered therapeutic.

DIF:    Cognitive Level: Comprehension     REF:   p. 104             OBJ:   1

TOP:   Ruesch’s Theory                             KEY:  Nursing Process Step: Evaluation

MSC:  Client Needs: Psychosocial Integrity

2. The theorist Eric Berne theorized that an individual’s three ego states of parent, child, and adult make up one’s:

ANS:  B

The three ego states, according to Berne, make up an individual’s personality. The parent ego focuses on rules and values, the child ego focuses on emotions and desires, and the focal point of the adult ego is previous observations. He did not address any of the other three options.

DIF:    Cognitive Level: Knowledge            REF:   p. 104             OBJ:   1

TOP:   Transactional Analysis                    KEY:  Nursing Process Step: Assessment

MSC:  Client Needs: Psychosocial Integrity

3. The nursing student is assigned a client to interview and is asked to practice the therapeutic communication technique of sharing perceptions. Which statement made by the student nurse best describes this technique?

ANS:  A

Sharing perceptions lets the client know that you are listening and ensures that you understand what he or she is communicating. Asking the client to describe how he or she feels when arguing with his or her daughter describes focusing. Speaking to the client about the plan of care describes informing, and the nursing student is using clarification when asking whether he or she understands the client correctly.

DIF:    Cognitive Level: Application           REF:   p. 105             OBJ:   7

TOP:   Interacting Skills                             KEY:  Nursing Process Step: Intervention

MSC:  Client Needs: Psychosocial Integrity

4. The nurse is talking with a male client regarding his recent relapse of alcohol addiction. The client alludes to the fact that he started to drink again after a fight with his wife. The nurse uses clarification to ensure an accurate understanding of the client. Which statement is the best example of clarification?

ANS:  C

Clarification helps to confirm feelings, ideas, and perceptions. The other options are examples of restating, focusing, and changing the topic.

DIF:    Cognitive Level: Application           REF:   p. 105             OBJ:   7

TOP:   Interacting Skills                             KEY:  Nursing Process Step: Intervention

MSC:   Client Needs: Psychosocial Integrity