Question

Situation: Pia is working in a Pediatric ward with patients who are experiencing different situational crisis. The use of therapeutic communication skill is important for the nurse to establish effective Nurse- patient interaction.

1. In communicating with her patient, nurse Josephine is accepting pauses that may extend for several seconds to minutes without interjecting any verbal response. What therapeutic technique is being used by Josephine?

a. general leads

c. being specific

b. silence

d. reflecting.

2. In dealing with geriatric patients, Rhead would like to use open ended questions as a therapeutic communication technique. Which of the following statement is not an example of an open ended question?

a. how do you feel now? c

. are you sad?

b. what is your opinion?

d. What brought you to the hospital?

3. Nurse Melaine is conversing with her patient named Raymond. She told her patient that his tonsillectomy operation is scheduled on Friday at 8am and discusses the preparations necessary before the procedure. This is an example of:

a. being specific

c. focusing

b. paraphrasing

d. giving information

4. Lilian, a hemodialysis nurse, is fond of communicating with her clients. She is using statements that encourage the client to verbalize and choose topic of conversation like “Where would you like to begin?” This technique is called:

a. restating

c. reflecting

b. offering general leads

d. focusing

5. The unit manager, Michael, is encouraging his nursing staff to always use the technique of acknowledging in dealing with the patients. The following are examples of acknowledging Eexcept:

a. good afternoon, sir

c. I’ve noticed you’ve combed you hair

b. you look fresh today

d. during the past hour, we’ve talked about your wife

Situation #2. . In nursing, communication is the vehicle for establishing a therapeutic relationship with a client. In order to effectively communicate with the patient there are criteria to be considered.

6. Proper use of vocabulary is one of the criteria for effective verbal communication. As a student nurse who is taking care of a client who speaks another dialect or language the best way to communicate is which is the following:

a. Avoid talking with them to prevent mis communication.

b. Ignore the patient.

c. Speak with them constantly with your own dialect.

d. Ask for the help of an interpreter.

7. When talking with clients who are unfamiliar with health care settings the use of the following should be avoided:

a. Medical jargons

b. Medical transcriptionist

c. Health Education

d. Health Ethics

8. Children have a more limited vocabulary than adults. When taking care of children, a nurse should consider which of the following in communicating with them:

a. Use of special words to describe bodily functions or a favorite toy

b. Use words with very deep meaning

c. Use of complicated stories to enhace their vocabulary

d. Can use adult vocabularies

9. The word ”code” means cardiac arrest for health care providers, but it may not mean the same way to non health care provider, this is an example of what criteria for effective verbal communication.

a. Vocabulary

b. Denotative and Connotative meaning

c. Clarity and Brevity

. Pacing

10. Nurse Tina is talking to an elderly patient. She talks slowly with appropriate pauses and thinks before speaking. What criteria for effective verbal communication does Nurse Tina uses? a. Vocabulary

b. Denotative and Connotative meaning

c. Clarity and Brevity

d. Pacing

11. Nurse Raquel is talking with a 34 year old pregnant mother who is seeking advice about prenatal check up. Nurse Raquel explain the prenatal schedule in a simple, brief and direct manner. She repeated the important things such as the followup check up time and day, the schedule of Iron Supplement and other medications. Nurse Raquel uses what criteria of effective verbal communication?

a. Vocabulary

b. Denotative and Connotative meaning

c. Clarity and Brevity

d. Pacing

12. You are taking care of patient who is in pain and irritable, the best time for interaction is when the client expresses an interest in communication. This is an example of what criteria of effective verbal communication.

a. Intonation

b. Clarity and Brevity

c. Timing and Relevance

d. Humor

13. This criteria for effective communication can be powerful and positive tool in the nurse client relationship. This can be used to help clients adjust to difficult and painful situation.

a. Intonation

b. Clarity and Brevity

c. Timing and Relevance

d. Humor

14. The use of eyes together with the use of eyebrows and eyelashes, give numerous signals to others. This is an example of what criteria for effective non-verbal communication?

a. Facial expression

b. Posture

c. Gesture

d. Touch

15. The nurse leans forward when talking to a psychiatric patient. Leaning forward is an example of what criteria for effective non-verbal communication?

a. Facial expression

b. Posture

c. Gesture

d. Touch

16. Shrugging the shoulders, waving the hands, tapping the feet are examples of what criteria for effective non-verbal communication?

a. Facial expression

b. Posture

c. Gesture

d. Touch

17. Nurse Tita is standing straight and tall with chest forward when attending her patients needs. Even she’s already tired the whole day she shows effective non-verbal communication. This is an example of what criteria?

a. Facial expression

b. Posture

c. Gesture

d. Touch

18. Touch should be used cautiously to the following clients except? 1. Confused 2. Aggressive 3. Anxious 4. Suspicious 5. Victims of abuse

a. 1 and 2

b. 1,2,3,4,5

c. 1,2,4,5

d. 1,2,3,4

19. Proper spacing when communicating to public is? a. 1 and ½ feet b. 1 and ½ to 4 feet c. 4 to 12 feet d. 12 to 15 feet 20. Proper spacing in a personal conversation is?

a. 1 and ½ feet

b. 1 and ½ to 4 feet

c. 4 to 12 feet

d. 12 to 15 feet

21. Which of the following should be avoided when communicating to clients who are with hearing impairement?

a. Always face the client

b. Determine if the client read lips

c. If client is using a hearing aid, turn it off, so that client can hear clearly

d. Speak at a normal pace in a normal tone of voice.

22. Which of the following should be avoided when communicating to clients who are visually impaired?

a. When speaking to visually impaired clients, always face them as if they were sighted.

b. Speak in a normal tone of voice; it is demeaning to yell.

c. Touch the client then ask permission

d. Orient the client to the immediate environment

23. Patient Deng is aphastic, if youre the student nurse taking care of Deng how will you speak with her?

a. Ask the client to answer immediately so that there will be a rapid pace of conversation.

b. Do not answer for the client

c. Repeat or rephrase the comment if client does not understand.

d. Speak directly to the client, not to the intermediary.

24. When taking care of an unconscious client, the following guidelines when talking with them should be considered, except?

a. Assume the client can hear

b. Speak to the client before touching.

c. Increase environmental stimuli

d. Engage in normal conversational topics as with any client.

25. Student nurse Shiela talks to Marie a confused patient diagnosed of Dementia. Shiela should approach the patient by the following, except?

a. Maintain appropriate eye contact

b. Use open- ended questions

c. Give the client time to respond

d. Use pictures and symbols

Answer 1

1) b: silence

2) b: what is your opinion

3) d) giving information

4) d) focussi