Question 1
Which statement made by the nurse demonstrates 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 response."
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."
CORRECT ANSWER
B.
"when my pt. Responds to my question, I check for congruence between verbal and
nonverbal communication to help validate the response."
Question 2
Which nursing statement is an example 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."
CORRECT ANSWER
D.
"you look sad."
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,Question 3
When should a nurse be most alert to the possibility of communication errors resulting in
harm to the patient?
A. Change of shift report
B. Admission interviews
C. One-to-one conversations with pt.'s
D. Conversations with pt. Families
CORRECT ANSWER
A.
Change of shift report
Question 4
What principle about nurse-patient communication should guide a nurse's fear about
"saying the wrong thing" to a patient?
A. Pt.'s tend to appreciate a well-meaning person who conveys genuine acceptance, respect,
and concern for their situation
B. The pt. Is more interested in talking to you than listening to what you have to say and so is
not likely to be offended
C. Considering the pt.'s history, there is little chance that the comment will do any actual
harm
D. Most people with a mental illness have by necessity developed a high tolerance of
forgiveness
CORRECT ANSWER
A.
Pt.'s tend to appreciate a well-meaning person who conveys genuine acceptance, respect,
and concern for their situation
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,Question 5
During an admission assessment and interview, which channels of information
communication should the nurse be monitoring? Select all that apply:
A. Auditory
B. Visual
C. Written
D. Tactile
E. Olfactory
CORRECT ANSWER
A, b, d, e
(auditory, visual, tactile, olfactory)
Question 6
You have been working closely with a pt. For the past month. Today he tells you he is looking
forward to meeting with his new psychiatrist but frowns and avoids eye contact while
reporting this to you. Which of the filling responses would most likely 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?"
CORRECT ANSWER
A.
"A new psychiatrist is a chance to start fresh; I'm sure it will go well for you."
Question 7
Which student behavior is consistent with therapeutic communication?
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, A. Offering your opinion when asked to convey support.
B. Summarizing the essence of the pt.'s comments in your own words.
C. Interrupting periods of silence before they become awkward for the pt.
D. Telling the pt. He did well when you approve of his statements or actions.
CORRECT ANSWER
B.
Summarizing the essence of the pt.'s comments in your own words.
Question 8
James is a 42 y/o pt. With schizophrenia. He approaches you as you arrive for day shift and
anxiously reports, "Last night, demons came to my rook and tried to rape me." Which
response 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."
CORRECT ANSWER
C.
"You seem very upset. Please tell me more about what you experienced last night."
Question 9
Therapeutic communication is the foundation of a patient-centered interview. Which of the
following techniques is not considered therapeutic?
A. Restating
B. Encouraging description of perception
C. Summarizing
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Which statement made by the nurse demonstrates 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 response."
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."
CORRECT ANSWER
B.
"when my pt. Responds to my question, I check for congruence between verbal and
nonverbal communication to help validate the response."
Question 2
Which nursing statement is an example 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."
CORRECT ANSWER
D.
"you look sad."
1
,Question 3
When should a nurse be most alert to the possibility of communication errors resulting in
harm to the patient?
A. Change of shift report
B. Admission interviews
C. One-to-one conversations with pt.'s
D. Conversations with pt. Families
CORRECT ANSWER
A.
Change of shift report
Question 4
What principle about nurse-patient communication should guide a nurse's fear about
"saying the wrong thing" to a patient?
A. Pt.'s tend to appreciate a well-meaning person who conveys genuine acceptance, respect,
and concern for their situation
B. The pt. Is more interested in talking to you than listening to what you have to say and so is
not likely to be offended
C. Considering the pt.'s history, there is little chance that the comment will do any actual
harm
D. Most people with a mental illness have by necessity developed a high tolerance of
forgiveness
CORRECT ANSWER
A.
Pt.'s tend to appreciate a well-meaning person who conveys genuine acceptance, respect,
and concern for their situation
2
,Question 5
During an admission assessment and interview, which channels of information
communication should the nurse be monitoring? Select all that apply:
A. Auditory
B. Visual
C. Written
D. Tactile
E. Olfactory
CORRECT ANSWER
A, b, d, e
(auditory, visual, tactile, olfactory)
Question 6
You have been working closely with a pt. For the past month. Today he tells you he is looking
forward to meeting with his new psychiatrist but frowns and avoids eye contact while
reporting this to you. Which of the filling responses would most likely 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?"
CORRECT ANSWER
A.
"A new psychiatrist is a chance to start fresh; I'm sure it will go well for you."
Question 7
Which student behavior is consistent with therapeutic communication?
3
, A. Offering your opinion when asked to convey support.
B. Summarizing the essence of the pt.'s comments in your own words.
C. Interrupting periods of silence before they become awkward for the pt.
D. Telling the pt. He did well when you approve of his statements or actions.
CORRECT ANSWER
B.
Summarizing the essence of the pt.'s comments in your own words.
Question 8
James is a 42 y/o pt. With schizophrenia. He approaches you as you arrive for day shift and
anxiously reports, "Last night, demons came to my rook and tried to rape me." Which
response 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."
CORRECT ANSWER
C.
"You seem very upset. Please tell me more about what you experienced last night."
Question 9
Therapeutic communication is the foundation of a patient-centered interview. Which of the
following techniques is not considered therapeutic?
A. Restating
B. Encouraging description of perception
C. Summarizing
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