Chapter 2: Basics of Communications

Chapter 2: Basics of Communications

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

Multiple Choice

Identify the choice that best completes the statement or answers the question.

 

____     1.   Which question by the nurse would gain the most information from a patient experiencing a marital crisis?

A.	“Do you hate your spouse?”
B.	“Do you get along with your in-laws?”
C.	“Do you talk out your problems with your spouse?”
D.	“What is it like at home with your spouse?”

 

 

____     2.   Mrs. R., the mother of a young schizophrenic patient, seeks you out and begins to cry. She expresses concern over her daughter’s behavior. Your best response to this woman is:

A.	“What is it that concerns you the most, Mrs. R.?”
B.	“Well, you know, that is part of the illness.”
C.	“Here is a book on schizophrenia. This will help you.”
D.	“Are you afraid your daughter will always be like this?”

 

 

____     3.   Linda is pacing the floor and appears extremely anxious. The day shift nurse approaches Linda in an attempt to lessen her anxiety. The most therapeutic statement by the nurse would be:

A.	How about watching a football game?
B.	Tell me how you are feeling today.
C.	What do you have to be upset about now?
D.	Ignore the client.

 

 

____     4.   A patient states, “I don’t know what the pills are for or why I am taking them, so I don’t want them.” What therapeutic communication would help this patient?

A.	Ask for what you need
B.	Silence
C.	Using general leads
D.	Giving information

 

 

____     5.   To practice effectively in mental health, the nurse should be able to:

A.	Solve his or her own personal problems without assistance from others.
B.	Comfortably point out the patient shortcomings and provide advice about how to improve.
C.	Bring patients and coworkers into compliance with societal rules and norms.
D.	Demonstrate therapeutic communication.

 

Chapter 2: Basics of Communications

Answer Section

 

MULTIPLE CHOICE

 

1. ANS:  D

Encourages expression of feelings rather than a yes/no answer. Use of open-ended questions facilitates more open communication.

 

PTS:   1                    REF:   Chapter 2: Basics of Communication; Therapeutic Communication; page 21-25

KEY:  Integrated Processes: Nursing Process: Implementation | Content Area: Mental Health: Therapeutic communication | Cognitive Level: Comprehension | Client Need: Psychosocial Integrity: Therapeutic communication

 

2. ANS:  A

The correct response is open ended to seek out more specifically why she is upset. Responses B and C shut down communication. Response D is making an assumption of why she is upset.

 

PTS:   1                    REF:   Chapter 2: Basics of Communication; Therapeutic Communication; page 24-25

KEY:  Integrated Processes: Nursing Process: Implementation | Content Area: Mental Health: Psychotic disorders: Therapeutic nursing process | Cognitive Level: Application | Client Need: Psychosocial Integrity: Therapeutic communication

 

3. ANS:  B

To keep open communication with the patient, the nurse should ask open-ended questions.

 

PTS:   1                    REF:   Chapter 2: Basics of Communication; Therapeutic Communication; page 24

KEY:  Integrated Processes: Caring | Content Area: Mental Health: Communication | Cognitive Level: Synthesis | Client Need: Psychosocial Integrity: Stress Management

 

4. ANS:  D

Giving information can increase rapport, reduce patient anxiety, and suggest patient collaboration.

 

PTS:   1                    REF:   Chapter 2: Basics of Communication; Therapeutic Communication; page 25

KEY:  Integrated Processes: Teaching/Learning | Content Area: Mental Health: Therapeutic Communication | Cognitive Level: Application | Client Need: Psychosocial Integrity: Therapeutic Communication/Health Promotion and Maintenance: Principles of Teaching/Learning

 

5. ANS:  A

Good communication skills are essential for working in mental health. Good communication skills center around being able to promote open communication with such techniques as good listening, use of open-ended questions, and appropriate use of silence to be therapeutic.

 

PTS:   1

REF:   Chapter 2: Basics of Communication; Techniques of Therapeutic/Helping Communication; page 23

KEY:  Integrated Processes: Communication and Documentation | Content Area: Mental Health: Therapeutic Nursing Process | Cognitive Level: Application | Client Need: Psychosocial Integrity: Therapeutic Communication