Foundations of Psychiatric Mental Health Nursing A Clinical Approach, 5th Edition by Elizabeth M. Varcarolis
Foundations of Psychiatric Mental Health Nursing A Clinical Approach, 5th Edition by Elizabeth M. Varcarolis
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Chapter 11: The Clinical Interview and Communication Skills
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
1) As a client converses with the nurse, she states “I dreamed I was stoned. When I woke up, I was feeling emotionally drained, as though I hadn’t rested well.” If the nurse needs clarification of “stoned,” it would be appropriate to say
| A. | “It sounds as though you were quite uncomfortable with the content of your dream.” |
| B. | “Can you give me an example of what you mean by stoned?” |
| C. | “I understand what you’re saying. Bad dreams leave me feeling tired, too.” |
| D. | “So, all in all, you feel as though you had a rather poor night’s sleep?” |
ANS: B
The technique of exploring is useful because it helps the nurse examine meaning. Option 2 directly asks for clarification. Option A focuses on client feelings. Options C and D fail to clarify the meaning of the word in question.
DIF: Cognitive Level: Application REF: Text Page: 189
TOP: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity
2) At the beginning of a clinical interview the nurse tells a teenaged client “While I’m here with you I will focus on the content and process of our communication as a participant observer.” The client looks blankly at the nurse. The nurse can make the assessment that communication was not understood because of
| A. | a personal factor: the use of terms not understood by the client. |
| B. | a social factor: the socioeconomic difference between nurse and client. |
| C. | an environmental factor: lack of privacy. |
| D. | incongruent verbal and nonverbal communication. |
ANS: A
Various personal, environmental, and social factors may be responsible for ineffective communication. In this case, a personal factor is involved. The nurse used a highly technical explanation of his purpose for talking with the client. Data are not present in the scenario to support the choice of any other option.
DIF: Cognitive Level: Application REF: Text Page: 178
TOP: Nursing Process: Evaluation MSC: NCLEX: Psychosocial Integrity
3) The client remarks “My husband and I get along just fine. We usually agree on everything.” As the client speaks her foot is moving continuously and she twirls a button on her blouse. What assessment can the nurse make? The client’s communication is
| A. | clear. |
| B. | explicit. |
| C. | inadequate. |
| D. | mixed. |
ANS: D
Mixed messages involve the transmission of conflicting or incongruent messages by the speaker. The client’s verbal message that all was well in the relationship was modified by the nonverbal behaviors denoting anxiety. Data are not present to support the choice of the verbal message being clear, explicit, or inadequate.
DIF: Cognitive Level: Application REF: Text Page: 180, Text Page: 181
TOP: Nursing Process: Assessment MSC: NCLEX: Psychosocial Integrity
4) During the first interview with a restless young man, the nurse notices that he does not make eye contact throughout most of the interview. The nurse can correctly assume that
| A. | he is not to be trusted in what he says because he is evasive. |
| B. | he is feeling sad and cannot look the nurse in the eye. |
| C. | he is shy and the nurse must move slowly. |
| D. | more information is needed to draw a conclusion. |
ANS: D
The data presented are insufficient to draw a conclusion. The nurse must continue to gather information.
DIF: Cognitive Level: Application REF: Text Page: 181, Text Page: 184
TOP: Nursing Process: Assessment MSC: NCLEX: Psychosocial Integrity
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