NSG 3450 EXAM 2 WITH QUESTIONS AND
ANSWERS
Which comment by the nurse exemplifies the best understanding of nonverbal
communication?
a. "the pt.'s verbal and nonverbal communication is often different."
b. "when my pt. responds to my question, I check for congruence between verbal
and nonverbal communication to help validate the ANSWER."
c. "is a pt. is slumped in the chair, I can be ire he's angry or depressed."
d. "it's easier to understand verbal communication than nonverbal communication."
- B. The answer is:
"when my pt. responds to my question, I check for congruence between verbal and
nonverbal communication to help validate the ANSWER."
Which nursing statement is an illustration of reflection?
a. "I think this feeling will pass."
b. "so you are saying that life has no meaning."
c. "I'm not sure I understand what you mean."
d. "You look sad." - ANSWER D.
"you look sad."
When should a nurse be particularly concerned about the likelihood of
communication blunders causing harm to the patient?
a. Change of shift report.
,b. Admission Interviews
c. One-on-one talks with patients
d. Conversations with PT. Families: ANSWER A.
Change of shift report.
What concept of nurse-patient communication should govern a nurse's concern
about "saying the wrong thing" to a patient?
a. Patients appreciate a well-meaning someone who demonstrates true acceptance,
respect, and compassion for their predicament.
b. The point. is more interested in chatting to you than listening to what you have to
say, and is hence unlikely to feel offended.
c. Given the patient's background, there is minimal possibility that the comment
will cause any genuine harm.
d. Most people with mental illnesses have naturally evolved a high tolerance for
forgiving - ANSWER A.
Patients appreciate a well-meaning someone who demonstrates true acceptance,
respect, and compassion for their predicament.
During an admission evaluation and interview, which routes of information
communication should the nurse monitor? Select all that apply.
a. auditory
b. visual
c. written
d. tactile
,e. olfactory - ANSWER A, B, D, E
(Auditory, Visual, Tactile, Olfactory)
You have been working closely with a patient. For the previous month. Today, he
tells you that he is looking forward to meeting with his new psychiatrist, but he
frowns and avoids eye contact while telling you. Which of the filling answers are
most likely to be therapeutic?
a. "A new psychiatrist is a chance to start fresh; I'm sure it will go well for you."
b. "You say that you look forward to the meeting, but you appear anxious or
unhappy."
c. "I notice that you frowned and avoided eye contact just not. Don't you feel well."
d. "I get the impression you don't really want to see you psychiatrist-- can you tell
me why?" - A. In ANSWER.
"A new psychiatrist is a chance to start fresh; I'm sure it will go well for you."
Which student conduct aligns with therapeutic communication?
a. When asked to express support, provide your perspective.
b. Summarizing the pt's comments in your own words.
c. breaking quiet before it becomes uncomfortable for the patient.
d. Telling the patient. He did well when you agree with his remarks or deeds. -
Answer B.
Summarizing the pt's comments in your own words.
, James is a 42-year-old patient. With schizophrenia. He approaches you when you
arrive during the day shift and anxiously reports, "Last night, demons came to my
rook and tried to rape me." What answer would be most therapeutic?
a. "There are no such things as demons. What you saw were hallucinations."
b. "It is not possible for anyone to enter your room at night. You are safe here."
c. "You seem very upset. Please tell me more about what you experienced last
night."
d. "That must have been very frightening, but we'll check on you at night and you'll
be safe." - Answer: C.
"You seem very upset. Please tell me more about what you experienced last night."
A patient-centered interview relies heavily on therapeutic communication. Which
of the following procedures are not considered therapeutic?
a. restating
b. encouraging description of perception.
c. summarizing
d. asking "why" questions yields ANSWER D. Asking "why" questions
Carolina is astonished by her pt. does not appear for a regularly planned
appointment. When reached, the patient says, "I don't need to come see you
anymore. I have found a therapy app on my phone that I love." How should
Carolina respond to this news?
a. "that sounds exciting, would you be willing to visit and show me the app?"
b. "at this time, there is no real evidence that the app can replace our therapy."
c. "I am not sure that is a good idea right now, we are so close to progress."
ANSWERS
Which comment by the nurse exemplifies the best understanding of nonverbal
communication?
a. "the pt.'s verbal and nonverbal communication is often different."
b. "when my pt. responds to my question, I check for congruence between verbal
and nonverbal communication to help validate the ANSWER."
c. "is a pt. is slumped in the chair, I can be ire he's angry or depressed."
d. "it's easier to understand verbal communication than nonverbal communication."
- B. The answer is:
"when my pt. responds to my question, I check for congruence between verbal and
nonverbal communication to help validate the ANSWER."
Which nursing statement is an illustration of reflection?
a. "I think this feeling will pass."
b. "so you are saying that life has no meaning."
c. "I'm not sure I understand what you mean."
d. "You look sad." - ANSWER D.
"you look sad."
When should a nurse be particularly concerned about the likelihood of
communication blunders causing harm to the patient?
a. Change of shift report.
,b. Admission Interviews
c. One-on-one talks with patients
d. Conversations with PT. Families: ANSWER A.
Change of shift report.
What concept of nurse-patient communication should govern a nurse's concern
about "saying the wrong thing" to a patient?
a. Patients appreciate a well-meaning someone who demonstrates true acceptance,
respect, and compassion for their predicament.
b. The point. is more interested in chatting to you than listening to what you have to
say, and is hence unlikely to feel offended.
c. Given the patient's background, there is minimal possibility that the comment
will cause any genuine harm.
d. Most people with mental illnesses have naturally evolved a high tolerance for
forgiving - ANSWER A.
Patients appreciate a well-meaning someone who demonstrates true acceptance,
respect, and compassion for their predicament.
During an admission evaluation and interview, which routes of information
communication should the nurse monitor? Select all that apply.
a. auditory
b. visual
c. written
d. tactile
,e. olfactory - ANSWER A, B, D, E
(Auditory, Visual, Tactile, Olfactory)
You have been working closely with a patient. For the previous month. Today, he
tells you that he is looking forward to meeting with his new psychiatrist, but he
frowns and avoids eye contact while telling you. Which of the filling answers are
most likely to be therapeutic?
a. "A new psychiatrist is a chance to start fresh; I'm sure it will go well for you."
b. "You say that you look forward to the meeting, but you appear anxious or
unhappy."
c. "I notice that you frowned and avoided eye contact just not. Don't you feel well."
d. "I get the impression you don't really want to see you psychiatrist-- can you tell
me why?" - A. In ANSWER.
"A new psychiatrist is a chance to start fresh; I'm sure it will go well for you."
Which student conduct aligns with therapeutic communication?
a. When asked to express support, provide your perspective.
b. Summarizing the pt's comments in your own words.
c. breaking quiet before it becomes uncomfortable for the patient.
d. Telling the patient. He did well when you agree with his remarks or deeds. -
Answer B.
Summarizing the pt's comments in your own words.
, James is a 42-year-old patient. With schizophrenia. He approaches you when you
arrive during the day shift and anxiously reports, "Last night, demons came to my
rook and tried to rape me." What answer would be most therapeutic?
a. "There are no such things as demons. What you saw were hallucinations."
b. "It is not possible for anyone to enter your room at night. You are safe here."
c. "You seem very upset. Please tell me more about what you experienced last
night."
d. "That must have been very frightening, but we'll check on you at night and you'll
be safe." - Answer: C.
"You seem very upset. Please tell me more about what you experienced last night."
A patient-centered interview relies heavily on therapeutic communication. Which
of the following procedures are not considered therapeutic?
a. restating
b. encouraging description of perception.
c. summarizing
d. asking "why" questions yields ANSWER D. Asking "why" questions
Carolina is astonished by her pt. does not appear for a regularly planned
appointment. When reached, the patient says, "I don't need to come see you
anymore. I have found a therapy app on my phone that I love." How should
Carolina respond to this news?
a. "that sounds exciting, would you be willing to visit and show me the app?"
b. "at this time, there is no real evidence that the app can replace our therapy."
c. "I am not sure that is a good idea right now, we are so close to progress."
