Best Answers Test Bank Interpersonal Relationships: Professional Communication Skills for Nurses by Arnold, Boggs

QUESTIONS AND ANSWERS TEST BANK INTERPERSONAL RELATIONSHIPS: PROFESSIONAL COMMUNICATION SKILLS FOR NURSES 

14. Which of the following theorists viewed the professional’s relationship with the client as a means to help the client grow and change? a. Maslow b. Rogers c. Erikson d. Beck ANS: B According to Carl Rogers, if the professional could provide a certain type of relationship, the client would find the capacity to grow and change. Incorrect answers: 1. Maslow focused on a hierarchy of needs. 3. Erickson talked about developmental stages. 4. Beck focuses on cognitive distortions. DIF: Cognitive Level: Knowledge REF: Text Page Reference: p. 11 TOP: Step of the Nursing Process: All phases MSC: Client Needs: Psychosocial Integrity 15. Nurse Smith wants to provide medication education to a group of clients diagnosed with schizophrenia. It would be most helpful for nurse Smith to keep in mind the concepts of:

a. Freud’s transference and counter-transference b. Rogers’ person-centered relationship c. Maslow’s self-actualization d. Erikson’s principles of personality development ANS: B Rogers’ concepts are applicable for nurse-client teaching formats. Incorrect answers: 1. Transference and counter-transference may occur, but in providing education the most helpful concepts are those of Rogers. 3. Self-actualization is the highest level of need satisfaction; it would not be useful in providing medication education. 4. Erikson describes four stages of the life cycle to help the person develop identity. These would not be useful in providing psychoeducation. DIF: Cognitive Level: Analysis REF: Text Page Reference: p. 12 TOP: Step of the Nursing Process: Planning MSC: Client Needs: Health Promotion and Maintenance 16. 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 ANS: C Feedback is necessary to confirm that participants have the same understanding of the message. Incorrect answers: 1. Only humans are capable of learning new languages to share ideas and feelings. 2. Both verbal and nonverbal concepts are important. 4. Past experiences do influence communication. DIF: Cognitive Level: Knowledge REF: Text Page Reference: p. 17 TOP: Step of the Nursing Process: All phases MSC: Client Needs: Psychosocial Integrity 17. In the circular transactional model of communication: a. Systems theory concepts are included 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 ANS: A

Systems theory concepts of feedback and validation are included. Incorrect answers: 2. People take either symmetrical or complementary roles. 3. The context is very important. 4. This is the purpose in the linear model of communication. DIF: Cognitive Level: Comprehension REF: Text Page Reference: p. 17 TOP: Step of the Nursing Process: All phases MSC: Client Needs: Psychosocial Integrity 18. Feedback: a. Occurs in some interactions b. Involves only verbal responses c. Does not include validation d. Can focus on the feelings generated ANS: D Feedback can focus on content, relationship, feelings, or events. Incorrect answers: 1. Feedback always occurs. 2. Feedback involves both verbal and nonverbal responses. 3. Validation is a form of feedback. DIF: Cognitive Level: Knowledge REF: Text Page Reference: p. 17 TOP: Step of the Nursing Process: All phases MSC: Client Needs: Psychosocial Integrity 19. As a nursing student you are expected to engage in therapeutic communication with clients. Which of the following statements represents therapeutic communication when a student discovers a client crying in bed? a. “Hi, Joe; I am the nurse who will be doing your treatments today.” b. “Hi, Joe; will you listen to me so I can help you get better?” c. “Hi, Joe; this is what is going to happen during surgery.” d. “Hi, Joe; can we talk about what seems to be bothering you?” ANS: D This statement is goal-directed. Its purpose is to promote client well-being. Incorrect answers: 1. This communication is a statement of fact and it ignores the client’s emotional needs. 2. This is not goal-directed and does not involve mutuality. 3. This communication is simply one-way. It does not engage the client in a therapeutic manner. DIF: Cognitive Level: Application REF: Text Page Reference: p. 18 TOP: Step of the Nursing Process: Assessment