therapeutic communication

The nurse demonstrates understanding of the concept of metacommunication through

•  recognizing the impact of communication on others
•  actively listening with good-eye contact
•  implementing barriers to effective communication
•  ensuring that verbal and non-verbal messages are incongruent

when communicating with client, the nurse recognizes that a barrier to effective communication is 

•  cultural sensitivity 
•  thinking ahead to the next question
• completion of physical care in a nonhurried manner
• focusing on the current questions asked by the client

 when communicating with client, the nurse actively uses listening responses. Which of the following types of listening response should the nurse use?

•  moralizing
• giving advice
• false reassurance
• paraphrasing 

the nurse enters a client room with the intent of allowing the client to express feelings in relation to her new tumour diagnosis. The nurse notices that the client is crying and guarding her incision site. After validating physical discomfort, the nurse should

• administers an analgesic and postpone the interaction
• sit with the client and hold her hand
• explain that pain is expected following surgery but that is it important to increase activity  to avoid complications
• acknowledge the physical pain but state that it is a priority to immediately address the  emotional pain 

the nurse asks a newly admitted client “can you tell me what brought you to the hospital today?” the purpose of an open-ended question is to 

• influence the direction of an acceptable response.
• encourage the client to answer the question with a one-word response
•  allow client latitude in telling their story
• allow the client to engage in a passive relationship with the nurse

The nurse is conducting a medication education group for mentally ill client. One of the clients  states, “I think everyone needs medications. What about psychotherapy? Can you tell me about that? What is an appropriate response by the nurse?

• talk to the group about the benefits of psychotherapy
• Tell the group that psychotherapy is ineffective and they need medication
• Acknowledge the question, but explain the time limitations and focus of that particular   group
• Explain that it is physician’s decision what type of treatment modality is for each client

 Which of the following is the best questioning sequence during a client interview in which the client is communicative and not in an emergency situation?

• begin with focused questions and proceed to open- ended questions
• begin with open – ended questions and proceed to focused questions
• Begin with closed questions and proceed to open –ended questions
• begin with open-ended questions and proceed to closed questions.  

The client states, “I can’t sleep all night because the nurses are noisy” which of the following responses by the nurse best represents the nurse’s recognition of the client’s theme?

• I will speak to the supervisor about your complaint.”
• You cannot sleep because of the noise level at night”?
• You need to understand that nurses communicate with other clients during the night.”
• “I will tell the night nurses that you complained.”

What is nonverbal communication often referred to as?

• facial expression
• nonverbal
• safety and security 
• Body language

When communicating with client, the client recognizes that a barrier to effective communication is 

• culture sensitivity 
• Thinking ahead to the next question 
• Completion of physical care in a nonhurried manner 
• Focusing on the current questions asked by the client