TEST BANK FOR
INTERPERSONAL RELATIONSHIPS PROFESSIONAL
COMMUNICATION SKILLS FOR NURSES 9TH EDITION
BY ELIZABETH, C. ARNOLD, KATHLEEN UNDERMAN BOGGS|CHAPTERS 1-26|VERIFIED ANSWERS
,Table of Contents
Chapter 1: Theory Based Perspectives And Contemporary Dynamics ....................................................... 3
Chapter 2: Professional Guides For Nursing Communication................................................................... 12
Chapter 3: Clinical Judgment And Ethical Decision Making ...................................................................... 21
Chapter 4: Clarity And Safety In Communication ..................................................................................... 30
Chapter 5: Developing Therapeutic Communication Skills....................................................................... 39
Chapter 6: Variation In Communication Styles ......................................................................................... 50
Chapter 7: Intercultural Communication................................................................................................... 61
Chapter 8: Therapeutic Communication In Groups .................................................................................. 69
Chapter 9: Self Concept In Professional Interpersonal Relationships ...................................................... 80
Chapter 10: Developing Therapeutic Relationships .................................................................................. 87
Chapter 11: Bridges And Barriers In Therapeutic Relationships............................................................... 97
Chapter 12: Communicating With Families ............................................................................................. 105
Chapter 13: Resolving Conflicts Between Nurse And Client ................................................................... 116
Chapter 14: Communicating To Encourage Health Literacy, Health Promotion, And Prevention Of
Disease ...................................................................................................................................................... 126
Chapter 15: Health Teaching And Coaching ............................................................................................ 136
Chapter 16: Empowerment-Oriented Communication Strategies To Reduce Stress ............................ 147
Chapter 17: Communicating With Clients Experiencing Communication Deficits ................................. 154
Chapter 18: Communicating With Children............................................................................................. 162
Chapter 19: Communicating With Older Adults ...................................................................................... 171
Chapter 20: Communicating With Clients In Crisis.................................................................................. 181
Chapter 21: Communicating With Clients And Families At The End Of Life........................................... 194
Chapter 22: Role Relationships And Interprofessional Communication ................................................ 206
Chapter 23: Communicating With Other Health Professionals .............................................................. 215
Chapter 24: Communicating For Continuity Of Care............................................................................... 222
Chapter 25: Documentation In An Electronic Era ................................................................................... 234
Chapter 26: Communicating At The Point Of Care: Application Of Ehealth Information Technologies 242
,Chapter 1: Theory Based Perspectives And Contemporary Dynamics
Arnold: Interpersonal Relationships, 9th Edition
MULTIPLE CHOICE
1. When Describing Nursing To A Group Of Nursing Students, The Nursing Instructor Lists All Of The
Following Characteristics Of Nursing Except
A. Historically Nursing Is As Old As Mankind.
B. Nursing Was Originally Practiced Informally By Religious Orders Dedicated To Care Of The Sick.
C. Nursing Was Later Practiced In The Home By Female Caregivers With No Formal Education.
D. Nursing Has Always Been Identifiable As A Distinct Occupation.
ANSWER: A
Historically, Nursing Is As Old As Mankind. Originally Practiced Informally By Religious Orders
Dedicated To Care Of The Sick And Later In The Home By Female Caregivers With No Formal
Education, Nursing Was Not Identifiable As A Distinct Occupation Until The 1854 Crimean War. There,
Florence Nightingale’s Notes On Nursing Introduced The World To The Functional Roles Of
Professional Nursing And The Need For Formal Education.
DIF: Cognitive Level: Comprehension
REF: P. 1
TOP: Step Of The Nursing Process: All Phases
MSC: Client Needs: Psychosocial Integrity
2. The Nursing Profession’s First Nurse Researcher, Who Served As An Early Advocate For High- Quality
Care And Used Statistical Data To Document The Need For Handwashing In Preventing Infection, Was
A. Abraham Maslow.
B. Martha Rogers.
C. Hildegard Peplau.
D. Florence Nightingale.
ANSWER: D
An Early Advocate For High-Quality Care, Florence Nightingale’s Use Of Statistical Data To Document
The Need For Handwashing In Preventing Infection Marks Her As The Profession’s First Nurse
Researcher.
,DIF: Cognitive Level: Knowledge
REF: P. 1
TOP: Step Of The Nursing Process: All Phases
MSC: Client Needs: Management Of Care
3. Today, Professional Nursing Education Begins At The
A. Undergraduate Level.
B. Graduate Level.
C. Advanced Practice Level.
D. Administrative Level.
ANSWER: A
Today, Professional Nursing Education Begins At The Undergraduate Level, With A Growing Number
Of Nurses Choosing Graduate Studies To Support Differentiated Practice Roles And/Or Research
Opportunities. Nurses Are Prepared To Function As Advanced Practice Nurse Practitioners,
Administrators, And Educators.
DIF: Cognitive Level: Comprehension
REF: P. 2
TOP: Step Of The Nursing Process: All Phases
MSC: Client Needs: Management Of Care
4. Nursing’s Metaparadigm, Or Worldview, Distinguishes The Nursing Profession From Other Disciplines
And Emphasizes Its Unique Functional Characteristics. The Four Key Concepts That Form The Foundation
For All Nursing Theories Are
A. Caring, Compassion, Health Promotion, And Education.
B. Respect, Integrity, Honesty, And Advocacy.
C. Person, Environment, Health, And Nursing.
D. Nursing, Teaching, Caring, And Health Promotion.
ANSWER: C
,Individual Nursing Theories Represent Different Interpretations Of The Phenomenon Of Nursing, But
Central Constructs—Person, Environment, Health, And Nursing—Are Found In All Theories And
Models. They Are Referred To As Nursing’s Metaparadigm.
DIF: Cognitive Level: Knowledge
REF: P. 2
TOP: Step Of The Nursing Process: All Phases
MSC: Client Needs: Management Of Care
5. When Admitting A Client To The Medical-Surgical Unit, The Nurse Asks The Client About Cultural
Issues. The Nurse Is Demonstrating Use Of The Concept Of
A. Person.
B. Environment.
C. Health.
D. Nursing.
ANSWER: B
The Concept Of Environment Includes All Cultural, Developmental, And Social Determinants That
Influence A Client’s Health Perceptions And Behavior. A Person Is Defined As The Recipient Of Nursing
Care, Having Unique Bio-Psycho-Social And Spiritual Dimensions. The Word Health Derives From The
Word Whole. Health Is A Multidimensional Concept, Having Physical, Psychological, Sociocultural,
Developmental, And Spiritual Characteristics. The World Health Organization (WHO, 1946) Defines
Health As “A State Of Complete Physical, Mental, Social Well- Being, Not Merely The Absence Of
Disease Or Infirmity.” Nursing Includes The Promotion Of Health, Prevention Of Illness, And The Care
Of Ill, Disabled, And Dying People.
DIF: Cognitive Level: Application
REF: P. 3
TOP: Step Of The Nursing Process: Assessment
MSC: Client Needs: Psychosocial Integrity
6. A Young Mother Tells The Nurse, “I’m Worried Because My Son Needs A Blood Transfusion. I Don’t
Know What To Do, Because Blood Transfusions Cause AIDS.” Which Central Nursing Construct Is
Represented In This Situation?
A. Environment
,B. Caring
C. Health
D. Person
ANSWER: D
The Concept Of Environment Includes All Cultural, Developmental, And Social Determinants That
Influence A Client’s Health Perceptions And Behavior. Caring Is Not One Of The Four Central Nursing
Constructs. The Word Health Derives From The Word Whole. Health Is A Multidimensional Concept,
Having Physical, Psychological, Sociocultural, Developmental, And Spiritual Characteristics. The World
Health Organization (WHO, 1946) Defines Health As “A State Of Complete Physical, Mental, Social
Well-Being, Not Merely The Absence Of Disease Or Infirmity.” Nursing Includes The Promotion Of
Health, Prevention Of Illness, And The Care Of Ill, Disabled, And Dying People. Person Is Defined As The
Recipient Of Nursing Care, Having Unique Bio-Psycho- Social And Spiritual Dimensions.
DIF: Cognitive Level: Application
REF: P. 2
TOP: Step Of The Nursing Process: Implementation
MSC: Client Needs: Psychosocial Integrity
7. The Nurse Performs A Dressing Change Using Sterile Technique. This Is An Example Of Which Pattern
Of Knowledge?
A. Empirical
B. Personal
C. Aesthetic
D. Ethical
ANSWER: A
Empirical Knowledge Is The Scientific Rationale For Skilled Nursing Interventions. Personal Ways Of
Knowing Allow The Nurse To Understand And Treat Each Individual As A Unique Person.
Aesthetic Ways Of Knowing Allow The Nurse To Connect In Different And More Meaningful Ways.
Ethical Ways Of Knowing Refer To The Moral Aspects Of Nursing.
DIF: Cognitive Level: Comprehension
REF: P. 5
TOP: Step Of The Nursing Process: Implementation
MSC: Client Needs: Management Of Care
,8. The Nurse-Client Relationship As Described By Hildegard Peplau
A. Would Not Be Useful In A Short-Stay Unit.
B. Allows Personal And Social Growth To Occur Only For The Client.
C. Facilitates The Identification And Accomplishment Of Therapeutic Goals.
D. Focuses On Maintaining A Personal Relationship Between The Nurse And Client.
ANSWER: C
Hildegard Peplau Offers The Best-Known Nursing Model For The Study Of Interpersonal Relationships
In Health Care. Her Model Describes How The Nurse-Client Relationship Can Facilitate The
Identification And Accomplishment Of Therapeutic Goals To Enhance Client And Family Well- Being. In
Contemporary Practice, Peplau’s Framework Is More Applicable Today In Longer Term Relationships,
And In Settings Such As Rehabilitation Centers, Long-Term Care, And Nursing Homes. Despite The
Brevity Of The Alliances In Acute Care Settings, Basic Principles Of Being A Participant Observer In The
Relationship, Building Rapport, Developing A Working Partnership, And Terminating A Relationship
Remain Relevant.
DIF: Cognitive Level: Knowledge
REF: P. 10
TOP: Step Of The Nursing Process: All Phases
MSC: Client Needs: Psychosocial Integrity
9. The Identification Phase Of The Nurse-Client Relationship
A. Sets The Stage For The Rest Of The Relationship.
B. Correlates With The Assessment Phase Of The Nursing Process.
C. Focuses On Therapeutic Goals To Enhance Client And Family Well-Being.
D. Uses Community Resources To Help Resolve Health Care Issues.
ANSWER: C
Hildegard Peplau Offers The Best-Known Nursing Model For The Study Of Interpersonal Relationships
In Health Care. Her Model Describes How The Nurse-Client Relationship Can Facilitate The
Identification And Accomplishment Of Therapeutic Goals To Enhance Client And Family Well- Being.
DIF: Cognitive Level: Knowledge
REF: P. 10
,TOP: Step Of The Nursing Process: Implementation
MSC: Client Needs: Management Of Care
10. Abraham Maslow's Needs Theory Is A Framework That
A. Begins With Meeting Basic Psychosocial Needs First.
B. Ensures Essential Needs Are Satisfied, Then People Move Into Higher Physiological Areas Of
Development.
C. Proposes That People Are Motivated To Meet Their Needs In A Descending Order.
D. Nurses Use To Prioritize Client Needs And Develop Relevant Nursing Approaches.
ANSWER: D
Abraham Maslow's Needs Theory Is A Framework That Nurses Use To Prioritize Client Needs And
Develop Relevant Nursing Approaches. Maslow's Model Proposes That People Are Motivated To Meet
Their Needs In An Ascending Order Beginning With Meeting Basic Survival Needs. As Essential Needs
Are Satisfied, People Move Into Higher Psychosocial Areas Of Development.
DIF: Cognitive Level: Application
REF: P. 10
TOP: Step Of The Nursing Process: All Phases
MSC: Client Needs: Psychosocial Integrity
11. Which Of The Following Statements About Communication Theory Is True?
A. Primates Are Able To Learn New Languages To Share Ideas And Feelings.
B. Concepts Include Only Verbal Communication.
C. Perceptions Are Clarified Through Feedback.
D. Past Experience Does Not Influence Communication.
ANSWER: C
Feedback Is The Only Way To Know That One’s Perceptions About Meanings Are Valid. Human
Communication Is Unique. Only Human Beings Have Large Vocabularies And Are Capable Of Learning
New Languages As A Means Of Sharing Their Ideas And Feelings. Communication Includes Language,
Gestures, And Symbols To Convey Intended Meaning, Exchange Ideas And Feelings, And To Share
Significant Life Experience. To Encode A Message Appropriately Requires A Clear
Understanding Of The Receiver’s Mental Frame Of Reference (E.G., Feelings, Personal Agendas, Past
Experiences) And Knowledge Of Its Purpose Or Intent Of The Communication.
,DIF: Cognitive Level: Knowledge
REF: P. 7
TOP: Step Of The Nursing Process: Assessment
MSC: Client Needs: Psychosocial Integrity
12. In The Circular Transactional Model Of Communication,
A. Questions Are Framed In Order To Recognize The Context Of The Message.
B. People Take Only Complementary Roles In The Communication.
C. The Context Of The Communication Is Unimportant.
D. The Purpose Of Communication Is To Influence The Receiver.
ANSWER: A
A Circular Model Expands Linear Models To Include The Context Of The Communication, Feedback
Loops, And Validation. With This Model, The Sender And Receiver Construct A Mental Picture Of The
Other, Which Influences The Message And Includes Perceptions Of The Other Person’s Attitude And
Potential Reaction To The Message.
DIF: Cognitive Level: Comprehension
REF: P. 8
TOP: Step Of The Nursing Process: All Phases
MSC: Client Needs: Psychosocial Integrity
13. The Nurse Recognizes That Feedback Loops
A. Do Not Allow For Correction Of Original Information.
B. Are Solely Based On The General Systems Theory.
C. Do Not Allow For Validation Of Information.
D. Allow The Human System To Correct Its Original Information.
ANSWER: D
Feedback (From The Receiver Or The Environment) Allows The System To Correct Or Maintain Its
Original Information. Feedback Loops (From The Receiver, Or The Environment) Validate The
Information, Or Allow The Human System To Correct Its Original Information. General Systems Theory,
Initially Described By Ludwig Von Bertalanffy (1968), Focuses On Process And Interconnected
Relationships Comprising The “Whole.”
, DIF: Cognitive Level: Knowledge
REF: P. 8
TOP: Step Of The Nursing Process: All Phases
MSC: Client Needs: Psychosocial Integrity
14. Which Of The Following Statements Best Represents Therapeutic Communication When A Student
Discovers A Client Crying In Bed?
A. “I Am The Nurse Who Will Be Doing Your Treatments Today.”
B. “Will You Listen To Me So I Can Help You Get Better?”
C. “This Is What Is Going To Happen During Surgery.”
D. “Can We Talk About What Seems To Be Bothering You?”
ANSWER: D
Asking About What Is Bothering The Client Is Goal Directed. Its Purpose Is To Promote Client Well-
Being. “I Am The Nurse Who Will Be Doing Your Treatments Today” Is A Statement Of Fact, And It
Ignores The Client’s Emotional Needs. “Will You Listen To Me So I Can Help You Get Better?” Is Not
Goal Directed And Does Not Involve Mutuality. “This Is What Is Going To Happen During Surgery” Is
Simply One Way. It Does Not Engage The Client In A Therapeutic Manner.
DIF: Cognitive Level: Application
REF: P. 10
TOP: Step Of The Nursing Process: Assessment
MSC: Client Needs: Psychosocial Integrity
15. The Central Constructs Of Person, Environment, Health, And Nursing Are Found In All Nursing
Theories And Models And Are Referred To As
A. Telehealth.
B. The Medical Model.
C. Nursing’s Metaparadigm.
D. Five Core Areas Of Competency.
ANSWER: C
INTERPERSONAL RELATIONSHIPS PROFESSIONAL
COMMUNICATION SKILLS FOR NURSES 9TH EDITION
BY ELIZABETH, C. ARNOLD, KATHLEEN UNDERMAN BOGGS|CHAPTERS 1-26|VERIFIED ANSWERS
,Table of Contents
Chapter 1: Theory Based Perspectives And Contemporary Dynamics ....................................................... 3
Chapter 2: Professional Guides For Nursing Communication................................................................... 12
Chapter 3: Clinical Judgment And Ethical Decision Making ...................................................................... 21
Chapter 4: Clarity And Safety In Communication ..................................................................................... 30
Chapter 5: Developing Therapeutic Communication Skills....................................................................... 39
Chapter 6: Variation In Communication Styles ......................................................................................... 50
Chapter 7: Intercultural Communication................................................................................................... 61
Chapter 8: Therapeutic Communication In Groups .................................................................................. 69
Chapter 9: Self Concept In Professional Interpersonal Relationships ...................................................... 80
Chapter 10: Developing Therapeutic Relationships .................................................................................. 87
Chapter 11: Bridges And Barriers In Therapeutic Relationships............................................................... 97
Chapter 12: Communicating With Families ............................................................................................. 105
Chapter 13: Resolving Conflicts Between Nurse And Client ................................................................... 116
Chapter 14: Communicating To Encourage Health Literacy, Health Promotion, And Prevention Of
Disease ...................................................................................................................................................... 126
Chapter 15: Health Teaching And Coaching ............................................................................................ 136
Chapter 16: Empowerment-Oriented Communication Strategies To Reduce Stress ............................ 147
Chapter 17: Communicating With Clients Experiencing Communication Deficits ................................. 154
Chapter 18: Communicating With Children............................................................................................. 162
Chapter 19: Communicating With Older Adults ...................................................................................... 171
Chapter 20: Communicating With Clients In Crisis.................................................................................. 181
Chapter 21: Communicating With Clients And Families At The End Of Life........................................... 194
Chapter 22: Role Relationships And Interprofessional Communication ................................................ 206
Chapter 23: Communicating With Other Health Professionals .............................................................. 215
Chapter 24: Communicating For Continuity Of Care............................................................................... 222
Chapter 25: Documentation In An Electronic Era ................................................................................... 234
Chapter 26: Communicating At The Point Of Care: Application Of Ehealth Information Technologies 242
,Chapter 1: Theory Based Perspectives And Contemporary Dynamics
Arnold: Interpersonal Relationships, 9th Edition
MULTIPLE CHOICE
1. When Describing Nursing To A Group Of Nursing Students, The Nursing Instructor Lists All Of The
Following Characteristics Of Nursing Except
A. Historically Nursing Is As Old As Mankind.
B. Nursing Was Originally Practiced Informally By Religious Orders Dedicated To Care Of The Sick.
C. Nursing Was Later Practiced In The Home By Female Caregivers With No Formal Education.
D. Nursing Has Always Been Identifiable As A Distinct Occupation.
ANSWER: A
Historically, Nursing Is As Old As Mankind. Originally Practiced Informally By Religious Orders
Dedicated To Care Of The Sick And Later In The Home By Female Caregivers With No Formal
Education, Nursing Was Not Identifiable As A Distinct Occupation Until The 1854 Crimean War. There,
Florence Nightingale’s Notes On Nursing Introduced The World To The Functional Roles Of
Professional Nursing And The Need For Formal Education.
DIF: Cognitive Level: Comprehension
REF: P. 1
TOP: Step Of The Nursing Process: All Phases
MSC: Client Needs: Psychosocial Integrity
2. The Nursing Profession’s First Nurse Researcher, Who Served As An Early Advocate For High- Quality
Care And Used Statistical Data To Document The Need For Handwashing In Preventing Infection, Was
A. Abraham Maslow.
B. Martha Rogers.
C. Hildegard Peplau.
D. Florence Nightingale.
ANSWER: D
An Early Advocate For High-Quality Care, Florence Nightingale’s Use Of Statistical Data To Document
The Need For Handwashing In Preventing Infection Marks Her As The Profession’s First Nurse
Researcher.
,DIF: Cognitive Level: Knowledge
REF: P. 1
TOP: Step Of The Nursing Process: All Phases
MSC: Client Needs: Management Of Care
3. Today, Professional Nursing Education Begins At The
A. Undergraduate Level.
B. Graduate Level.
C. Advanced Practice Level.
D. Administrative Level.
ANSWER: A
Today, Professional Nursing Education Begins At The Undergraduate Level, With A Growing Number
Of Nurses Choosing Graduate Studies To Support Differentiated Practice Roles And/Or Research
Opportunities. Nurses Are Prepared To Function As Advanced Practice Nurse Practitioners,
Administrators, And Educators.
DIF: Cognitive Level: Comprehension
REF: P. 2
TOP: Step Of The Nursing Process: All Phases
MSC: Client Needs: Management Of Care
4. Nursing’s Metaparadigm, Or Worldview, Distinguishes The Nursing Profession From Other Disciplines
And Emphasizes Its Unique Functional Characteristics. The Four Key Concepts That Form The Foundation
For All Nursing Theories Are
A. Caring, Compassion, Health Promotion, And Education.
B. Respect, Integrity, Honesty, And Advocacy.
C. Person, Environment, Health, And Nursing.
D. Nursing, Teaching, Caring, And Health Promotion.
ANSWER: C
,Individual Nursing Theories Represent Different Interpretations Of The Phenomenon Of Nursing, But
Central Constructs—Person, Environment, Health, And Nursing—Are Found In All Theories And
Models. They Are Referred To As Nursing’s Metaparadigm.
DIF: Cognitive Level: Knowledge
REF: P. 2
TOP: Step Of The Nursing Process: All Phases
MSC: Client Needs: Management Of Care
5. When Admitting A Client To The Medical-Surgical Unit, The Nurse Asks The Client About Cultural
Issues. The Nurse Is Demonstrating Use Of The Concept Of
A. Person.
B. Environment.
C. Health.
D. Nursing.
ANSWER: B
The Concept Of Environment Includes All Cultural, Developmental, And Social Determinants That
Influence A Client’s Health Perceptions And Behavior. A Person Is Defined As The Recipient Of Nursing
Care, Having Unique Bio-Psycho-Social And Spiritual Dimensions. The Word Health Derives From The
Word Whole. Health Is A Multidimensional Concept, Having Physical, Psychological, Sociocultural,
Developmental, And Spiritual Characteristics. The World Health Organization (WHO, 1946) Defines
Health As “A State Of Complete Physical, Mental, Social Well- Being, Not Merely The Absence Of
Disease Or Infirmity.” Nursing Includes The Promotion Of Health, Prevention Of Illness, And The Care
Of Ill, Disabled, And Dying People.
DIF: Cognitive Level: Application
REF: P. 3
TOP: Step Of The Nursing Process: Assessment
MSC: Client Needs: Psychosocial Integrity
6. A Young Mother Tells The Nurse, “I’m Worried Because My Son Needs A Blood Transfusion. I Don’t
Know What To Do, Because Blood Transfusions Cause AIDS.” Which Central Nursing Construct Is
Represented In This Situation?
A. Environment
,B. Caring
C. Health
D. Person
ANSWER: D
The Concept Of Environment Includes All Cultural, Developmental, And Social Determinants That
Influence A Client’s Health Perceptions And Behavior. Caring Is Not One Of The Four Central Nursing
Constructs. The Word Health Derives From The Word Whole. Health Is A Multidimensional Concept,
Having Physical, Psychological, Sociocultural, Developmental, And Spiritual Characteristics. The World
Health Organization (WHO, 1946) Defines Health As “A State Of Complete Physical, Mental, Social
Well-Being, Not Merely The Absence Of Disease Or Infirmity.” Nursing Includes The Promotion Of
Health, Prevention Of Illness, And The Care Of Ill, Disabled, And Dying People. Person Is Defined As The
Recipient Of Nursing Care, Having Unique Bio-Psycho- Social And Spiritual Dimensions.
DIF: Cognitive Level: Application
REF: P. 2
TOP: Step Of The Nursing Process: Implementation
MSC: Client Needs: Psychosocial Integrity
7. The Nurse Performs A Dressing Change Using Sterile Technique. This Is An Example Of Which Pattern
Of Knowledge?
A. Empirical
B. Personal
C. Aesthetic
D. Ethical
ANSWER: A
Empirical Knowledge Is The Scientific Rationale For Skilled Nursing Interventions. Personal Ways Of
Knowing Allow The Nurse To Understand And Treat Each Individual As A Unique Person.
Aesthetic Ways Of Knowing Allow The Nurse To Connect In Different And More Meaningful Ways.
Ethical Ways Of Knowing Refer To The Moral Aspects Of Nursing.
DIF: Cognitive Level: Comprehension
REF: P. 5
TOP: Step Of The Nursing Process: Implementation
MSC: Client Needs: Management Of Care
,8. The Nurse-Client Relationship As Described By Hildegard Peplau
A. Would Not Be Useful In A Short-Stay Unit.
B. Allows Personal And Social Growth To Occur Only For The Client.
C. Facilitates The Identification And Accomplishment Of Therapeutic Goals.
D. Focuses On Maintaining A Personal Relationship Between The Nurse And Client.
ANSWER: C
Hildegard Peplau Offers The Best-Known Nursing Model For The Study Of Interpersonal Relationships
In Health Care. Her Model Describes How The Nurse-Client Relationship Can Facilitate The
Identification And Accomplishment Of Therapeutic Goals To Enhance Client And Family Well- Being. In
Contemporary Practice, Peplau’s Framework Is More Applicable Today In Longer Term Relationships,
And In Settings Such As Rehabilitation Centers, Long-Term Care, And Nursing Homes. Despite The
Brevity Of The Alliances In Acute Care Settings, Basic Principles Of Being A Participant Observer In The
Relationship, Building Rapport, Developing A Working Partnership, And Terminating A Relationship
Remain Relevant.
DIF: Cognitive Level: Knowledge
REF: P. 10
TOP: Step Of The Nursing Process: All Phases
MSC: Client Needs: Psychosocial Integrity
9. The Identification Phase Of The Nurse-Client Relationship
A. Sets The Stage For The Rest Of The Relationship.
B. Correlates With The Assessment Phase Of The Nursing Process.
C. Focuses On Therapeutic Goals To Enhance Client And Family Well-Being.
D. Uses Community Resources To Help Resolve Health Care Issues.
ANSWER: C
Hildegard Peplau Offers The Best-Known Nursing Model For The Study Of Interpersonal Relationships
In Health Care. Her Model Describes How The Nurse-Client Relationship Can Facilitate The
Identification And Accomplishment Of Therapeutic Goals To Enhance Client And Family Well- Being.
DIF: Cognitive Level: Knowledge
REF: P. 10
,TOP: Step Of The Nursing Process: Implementation
MSC: Client Needs: Management Of Care
10. Abraham Maslow's Needs Theory Is A Framework That
A. Begins With Meeting Basic Psychosocial Needs First.
B. Ensures Essential Needs Are Satisfied, Then People Move Into Higher Physiological Areas Of
Development.
C. Proposes That People Are Motivated To Meet Their Needs In A Descending Order.
D. Nurses Use To Prioritize Client Needs And Develop Relevant Nursing Approaches.
ANSWER: D
Abraham Maslow's Needs Theory Is A Framework That Nurses Use To Prioritize Client Needs And
Develop Relevant Nursing Approaches. Maslow's Model Proposes That People Are Motivated To Meet
Their Needs In An Ascending Order Beginning With Meeting Basic Survival Needs. As Essential Needs
Are Satisfied, People Move Into Higher Psychosocial Areas Of Development.
DIF: Cognitive Level: Application
REF: P. 10
TOP: Step Of The Nursing Process: All Phases
MSC: Client Needs: Psychosocial Integrity
11. Which Of The Following Statements About Communication Theory Is True?
A. Primates Are Able To Learn New Languages To Share Ideas And Feelings.
B. Concepts Include Only Verbal Communication.
C. Perceptions Are Clarified Through Feedback.
D. Past Experience Does Not Influence Communication.
ANSWER: C
Feedback Is The Only Way To Know That One’s Perceptions About Meanings Are Valid. Human
Communication Is Unique. Only Human Beings Have Large Vocabularies And Are Capable Of Learning
New Languages As A Means Of Sharing Their Ideas And Feelings. Communication Includes Language,
Gestures, And Symbols To Convey Intended Meaning, Exchange Ideas And Feelings, And To Share
Significant Life Experience. To Encode A Message Appropriately Requires A Clear
Understanding Of The Receiver’s Mental Frame Of Reference (E.G., Feelings, Personal Agendas, Past
Experiences) And Knowledge Of Its Purpose Or Intent Of The Communication.
,DIF: Cognitive Level: Knowledge
REF: P. 7
TOP: Step Of The Nursing Process: Assessment
MSC: Client Needs: Psychosocial Integrity
12. In The Circular Transactional Model Of Communication,
A. Questions Are Framed In Order To Recognize The Context Of The Message.
B. People Take Only Complementary Roles In The Communication.
C. The Context Of The Communication Is Unimportant.
D. The Purpose Of Communication Is To Influence The Receiver.
ANSWER: A
A Circular Model Expands Linear Models To Include The Context Of The Communication, Feedback
Loops, And Validation. With This Model, The Sender And Receiver Construct A Mental Picture Of The
Other, Which Influences The Message And Includes Perceptions Of The Other Person’s Attitude And
Potential Reaction To The Message.
DIF: Cognitive Level: Comprehension
REF: P. 8
TOP: Step Of The Nursing Process: All Phases
MSC: Client Needs: Psychosocial Integrity
13. The Nurse Recognizes That Feedback Loops
A. Do Not Allow For Correction Of Original Information.
B. Are Solely Based On The General Systems Theory.
C. Do Not Allow For Validation Of Information.
D. Allow The Human System To Correct Its Original Information.
ANSWER: D
Feedback (From The Receiver Or The Environment) Allows The System To Correct Or Maintain Its
Original Information. Feedback Loops (From The Receiver, Or The Environment) Validate The
Information, Or Allow The Human System To Correct Its Original Information. General Systems Theory,
Initially Described By Ludwig Von Bertalanffy (1968), Focuses On Process And Interconnected
Relationships Comprising The “Whole.”
, DIF: Cognitive Level: Knowledge
REF: P. 8
TOP: Step Of The Nursing Process: All Phases
MSC: Client Needs: Psychosocial Integrity
14. Which Of The Following Statements Best Represents Therapeutic Communication When A Student
Discovers A Client Crying In Bed?
A. “I Am The Nurse Who Will Be Doing Your Treatments Today.”
B. “Will You Listen To Me So I Can Help You Get Better?”
C. “This Is What Is Going To Happen During Surgery.”
D. “Can We Talk About What Seems To Be Bothering You?”
ANSWER: D
Asking About What Is Bothering The Client Is Goal Directed. Its Purpose Is To Promote Client Well-
Being. “I Am The Nurse Who Will Be Doing Your Treatments Today” Is A Statement Of Fact, And It
Ignores The Client’s Emotional Needs. “Will You Listen To Me So I Can Help You Get Better?” Is Not
Goal Directed And Does Not Involve Mutuality. “This Is What Is Going To Happen During Surgery” Is
Simply One Way. It Does Not Engage The Client In A Therapeutic Manner.
DIF: Cognitive Level: Application
REF: P. 10
TOP: Step Of The Nursing Process: Assessment
MSC: Client Needs: Psychosocial Integrity
15. The Central Constructs Of Person, Environment, Health, And Nursing Are Found In All Nursing
Theories And Models And Are Referred To As
A. Telehealth.
B. The Medical Model.
C. Nursing’s Metaparadigm.
D. Five Core Areas Of Competency.
ANSWER: C
