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Chapter 7 and 8

Total questions: 95

Worksheet time: 48mins

Name
Class
Date
1.

A nurse–client relationship is built on which of the following?

a)

Trust, competence, and therapeutic communication

b)

Sympathy, distance, and casual conversation

c)

Authority, discipline, and routine

d)

Silence, observation, and detachment

2.

Effective communication is the ______ nurses must master. (Fill in the blank)

a)

core skill

b)

minor distraction

c)

rare event

d)

optional task

3.

Establishing relationships involves which of the following?

a)

Empathetic listening, appropriate touch, and verbal/nonverbal cues

b)

Strict rules, minimal interaction, and written communication

c)

Avoiding eye contact, using technical jargon, and being distant

d)

Only verbal communication

4.

Always address older clients with ______ (e.g., Mr., Mrs.).

a)

respect

b)

anger

c)

sarcasm

d)

slang

5.

Which type of language should be avoided when addressing older clients?

a)

Patronizing language ("dear," "sweetie")

b)

Respectful language

c)

Professional language

d)

Technical language

6.

Promoting client ______ and ______ is important in gerontologic considerations. (Fill in the blanks)

a)

autonomy and dignity

b)

comfort and wealth

c)

dependence and obedience

d)

activity and youth

7.

It is important to identify yourself at every interaction with an older client.

a)

True

b)

False

8.

What should be reduced for clients with hearing loss?

a)

Background noise

b)

Lighting

c)

Temperature

d)

Movement

9.

When communicating with a client, you should face them directly and avoid standing in front of ______.

a)

bright light

b)

a window

c)

a door

d)

a clock

10.

Encouraging ______ is a way to promote positive engagement with older adults. (Fill in the blank)

a)

reminiscing

b)

arguing

c)

ignoring

d)

criticizing

11.

Using touch deliberately and respectfully is more meaningful to older adults.

a)

True

b)

False

12.

Being ______ competent about using touch and eye contact is important in gerontologic considerations. (Fill in the blank)

a)

culturally

b)

physically

c)

emotionally

d)

technically

13.

Which of the following is a responsibility of a Caregiver in nursing?

a)

Provides instruction about medications

b)

Assists clients with physical and emotional needs

c)

Assigns appropriate tasks

d)

Works with health team members

14.

Fill in the blank: A Caregiver requires ______, not sympathy—aims to restore functional independence.

a)

empathy

b)

apathy

c)

indifference

d)

criticism

15.

Which of the following is NOT a characteristic of Nursing Acts?

a)

Planned, altruism-based

b)

Short-term, crisis-focused

c)

Long-term, self-reliance focused

d)

Knowledge and ethics-based

16.

What is one of the main responsibilities of an Educator in nursing?

a)

Assigns appropriate tasks

b)

Provides instruction about health, procedures, medications, etc.

c)

Assists clients with emotional needs

d)

Delegates and communicates with other professionals

17.

True or False: An Educator in nursing gives advice to clients.

a)

True

b)

False

18.

Fill in the blank: A Collaborator works with clients and health team members to meet ______.

a)

goals

b)

appointments

c)

deadlines

d)

budgets

19.

Which role in nursing ensures safety, scope of practice, and correct skill levels?

a)

Caregiver

b)

Educator

c)

Collaborator

d)

Delegator

20.

Fill in the blank: The phase of the nurse–client relationship that establishes trust and outlines roles is called the ________ phase.

a)

Introductory

b)

Termination

c)

Working

d)

Resolution

21.

Fill in the blank: The phase of the nurse–client relationship that involves active problem-solving and goal-directed behavior is called the ________ phase.

a)

Working

b)

Orientation

c)

Termination

d)

Preparation

22.

Fill in the blank: The phase of the nurse–client relationship that ends the professional relationship respectfully is called the ________ phase.

a)

Terminating

b)

Orientation

c)

Working

d)

Initiation

23.

Which of the following is NOT a component of verbal communication in the nurse–client relationship?

a)

A) Words used

b)

B) Tone

c)

C) Eye contact

d)

D) Timing

24.

Which of the following is a key element of nonverbal communication (kinesics) in the nurse–client relationship?

a)

Words used

b)

Tone

c)

Gestures

d)

Timing

25.

Fill in the blank: The distance considered 'intimate' space in forms of space is ________.

a)

6–18 inches

b)

2–3 feet

c)

4–5 feet

d)

10–12 feet

26.

Fill in the blank: The personal distance is _________.

a)

18 inches – 4 feet

b)

0 – 6 inches

c)

5 feet – 10 feet

d)

10 feet – 20 feet

27.

Fill in the blank: The social distance is _________.

a)

4–12 feet

b)

0–1.5 feet

c)

1.5–4 feet

d)

12–25 feet

28.

Fill in the blank: The public distance is _________

a)

12+ feet

b)

0-1.5 feet

c)

1.5-4 feet

d)

4-12 feet

29.

Fill in the blank: Paralanguage refers to voice tone, pitch, volume, rate, and emphasis—adds meaning to _________.

a)

spoken words

b)

written text

c)

body language

d)

facial expressions

30.

Is 'Active listening' a therapeutic or nontherapeutic communication technique?

a)

Therapeutic

b)

Nontherapeutic

c)

Aggressive

d)

Passive

31.

Is 'Restating' a therapeutic or nontherapeutic communication technique?

a)

Therapeutic

b)

Nontherapeutic

c)

Aggressive

d)

Passive

32.

Is 'Clarifying' a therapeutic or nontherapeutic communication technique?

a)

Therapeutic

b)

Nontherapeutic

c)

Aggressive

d)

Passive

33.

Is 'Reflecting' a therapeutic or nontherapeutic communication technique?

a)

Therapeutic

b)

Nontherapeutic

c)

Aggressive

d)

Passive

34.

Is 'Focusing' a therapeutic or nontherapeutic communication technique?

a)

Therapeutic

b)

Nontherapeutic

c)

Aggressive

d)

Passive

35.

Is 'Giving information' a therapeutic or nontherapeutic communication technique?

a)

Therapeutic

b)

Nontherapeutic

c)

Aggressive

d)

Passive

36.

Is 'Using silence purposefully' a therapeutic or nontherapeutic communication technique?

a)

Therapeutic

b)

Nontherapeutic

c)

Aggressive

d)

Passive

37.

Is 'Giving false reassurance' a therapeutic or nontherapeutic communication technique?

a)

Nontherapeutic

b)

Therapeutic

c)

Assertive

d)

Empathetic

38.

Is 'Advising' a therapeutic or nontherapeutic communication technique?

a)

Nontherapeutic

b)

Therapeutic

c)

Reflective

d)

Empathic

39.

Is 'Defending' a therapeutic or nontherapeutic communication technique?

a)

Nontherapeutic

b)

Therapeutic

c)

Supportive

d)

Empathetic

40.

Is 'Changing the subject' a therapeutic or nontherapeutic communication technique?

a)

Nontherapeutic

b)

Therapeutic

c)

Reflective

d)

Empathic

41.

Is 'Asking "why" questions' a therapeutic or nontherapeutic communication technique?

a)

Nontherapeutic

b)

Therapeutic

c)

Supportive

d)

Reflective

42.

What is task-oriented touch in communication?

a)

Task-oriented touch is functional and necessary, such as inserting a catheter.

b)

Task-oriented touch is a form of emotional support, like hugging a patient.

c)

Task-oriented touch is used to express affection between colleagues.

d)

Task-oriented touch is a way to establish dominance in a conversation.

43.

Which type of touch conveys emotional support?

a)

Affective touch conveys emotional support.

b)

Instrumental touch conveys emotional support.

c)

Mechanical touch conveys emotional support.

d)

Neutral touch conveys emotional support.

44.

Appropriate use of touch in communication includes which of the following?

a)

When culturally acceptable

b)

When verbal support alone is inadequate

c)

When physical presence is needed for reassurance

d)

All of the above

45.

Table 7-1 differentiates caring acts from nursing acts by showing a clear distinction between informal caregiving and professional nursing, focusing on ________, standards, and goals.

a)

ethics

b)

finances

c)

technology

d)

medication

46.

What is the definition of 'active listening'?

a)

Active listening is fully concentrating, understanding, responding, and remembering what the other person is saying.

b)

Active listening is ignoring the speaker and thinking about your response.

c)

Active listening is only hearing the words but not paying attention to the meaning.

d)

Active listening is interrupting the speaker to share your own experiences.

47.

What does 'empathy' mean in the context of nurse-client interaction?

a)

Empathy is the ability to understand and share the feelings of another person.

b)

Empathy is the act of giving medical advice without listening to the patient.

c)

Empathy is the process of diagnosing a disease based on symptoms alone.

d)

Empathy is the ability to ignore a patient's emotions during treatment.

48.

Which term refers to the professional relationship between a nurse and a client that is focused on promoting the client's well-being?

a)

Therapeutic relationship

b)

Social relationship

c)

Transactional relationship

d)

Personal relationship

49.

Who is a 'caregiver' in the context of nursing?

a)

A caregiver is a person who provides direct care to another person who needs assistance.

b)

A caregiver is a person who only manages hospital finances.

c)

A caregiver is a person who designs medical equipment.

d)

A caregiver is a person who writes medical textbooks.

50.

What is 'nonverbal communication'?

a)

Nonverbal communication is the process of conveying a message without the use of words, through gestures, facial expressions, and body language.

b)

Nonverbal communication is the process of writing messages using only symbols and numbers.

c)

Nonverbal communication is the use of spoken words to communicate ideas and emotions.

d)

Nonverbal communication is the process of sending emails and text messages.

51.

What is the 'terminating phase' in nurse-client interaction?

a)

The terminating phase is the final stage of the nurse-client relationship, where the relationship is ended appropriately.

b)

The terminating phase is when the nurse first meets the client and establishes rapport.

c)

The terminating phase is the period when the nurse gathers information about the client's medical history.

d)

The terminating phase is when the nurse provides ongoing care and support to the client.

52.

Fill in the blank: ________ is fully focusing on the client's verbal and nonverbal messages.

a)

Active listening

b)

Selective hearing

c)

Passive observation

d)

Interrupting

53.

Fill in the blank: ________ is touch used to convey support or empathy.

a)

Affective touch

b)

Instrumental touch

c)

Aggressive touch

d)

Neutral touch

54.

Fill in the blank: ________ is the exchange of information between individuals.

a)

Communication

b)

Transportation

c)

Decoration

d)

Calculation

55.

Fill in the blank: ________ are roles nurses play in client relationships.

a)

Caregiver, educator, collaborator, delegator

b)

Patient, observer, analyst, technician

c)

Supervisor, accountant, engineer, designer

d)

Manager, architect, developer, planner

56.

Fill in the blank: ________ is understanding another’s feelings without becoming emotionally involved.

a)

Empathy

b)

Sympathy

c)

Apathy

d)

Antipathy

57.

Fill in the blank: ________ is the study of body language.

a)

Kinesics

b)

Phonetics

c)

Semantics

d)

Morphology

58.

Fill in the blank: ________ is the study of spatial distances in communication.

a)

Proxemics

b)

Kinesics

c)

Chronemics

d)

Haptics

59.

Fill in the blank: ________ are vocal cues like tone, pitch, and volume.

a)

Paralanguage

b)

Syntax

c)

Semantics

d)

Morphology

60.

Fill in the blank: ________ is goal-directed, patient-focused communication.

a)

Therapeutic communication

b)

Social communication

c)

Aggressive communication

d)

Passive communication

61.

Fill in the blank: ________ is a nonverbal form of communication, both task-related and emotional.

a)

Touch

b)

Writing

c)

Singing

d)

Reading

62.

Fill in the blank: The phases of the nurse–client relationship are called the __________, working, and terminating phase.

a)

introductory

b)

assessment

c)

evaluation

d)

preparatory

63.

Fill in the blank: Purposeful use of words to build trust and promote healing is called __________ verbal communication.

a)

therapeutic

b)

directive

c)

casual

d)

aggressive

64.

Fill in the blank: Communication through body language, gestures, posture, and facial expression is called __________ communication.

a)

nonverbal

b)

verbal

c)

written

d)

visual

65.

Fill in the blank: An intentional pause to encourage reflection or support is called __________.

a)

silence

b)

interruption

c)

distraction

d)

noise

66.

Fill in the blank: Key considerations in auditory communication are important for clients who are __________ / Hard of Hearing / ASL.

a)

deaf

b)

blind

c)

mute

d)

dyslexic

67.

A successful nurse–client relationship is built on which of the following?

a)

Trust, communication, and ethical care

b)

Silence and nonverbal cues

c)

Only verbal communication

d)

None of the above

68.

A nurse’s style of communication directly impacts rapport, understanding, and outcomes.

a)

True

b)

False

69.

Fill in the blank: __________ communication helps establish trust, reduce anxiety, and support the client through their care journey.

a)

Therapeutic

b)

Technical

c)

Aggressive

d)

Nonverbal

70.

Which of the following is recommended when communicating with older adults?

a)

Use formal titles ("Mr./Mrs.")

b)

Use patronizing terms

c)

Speak around them

d)

Avoid including them in decisions

71.

True or False: It is respectful to use patronizing terms such as "sweetie" when addressing older adults.

a)

True

b)

False

72.

Fill in the blank: Name and title should be __________ regularly; older clients may not remember.

a)

reintroduced

b)

ignored

c)

removed

d)

forgotten

73.

Which of the following is recommended for communicating with clients who have hearing loss?

a)

Speak from any side

b)

Identify the better ear and speak from that side

c)

Avoid eye contact

d)

Stand in front of glare or bright lights

74.

Maintaining ________ and avoiding standing in front of glare or bright lights is important when communicating with clients.

a)

eye contact

b)

a loud voice

c)

crossed arms

d)

a notepad

75.

Encouraging ________ can promote self-identity and confidence in clients.

a)

reminiscing

b)

arguing

c)

isolating

d)

criticizing

76.

Using touch appropriately holds more meaning for which group?

a)

Children

b)

Older adults

c)

Teenagers

d)

Infants

77.

Being ________ aware is important for understanding how different clients perceive touch and eye contact.

a)

culturally

b)

physically

c)

emotionally

d)

financially

78.

A caregiver provides both ________ and ________ care.

a)

physical, emotional

b)

financial, legal

c)

spiritual, recreational

d)

educational, occupational

79.

Which of the following is a role of a caregiver?

a)

Shares health teaching

b)

Uses empathy to connect emotionally while maintaining professional boundaries

c)

Empowers clients with information

d)

Provides legal advice

80.

An educator in nursing shares ________ teaching, such as procedures, medications, wound care, and prevention.

a)

health

b)

mathematics

c)

culinary

d)

musical

81.

An educator empowers clients with ________, not advice.

a)

information

b)

opinions

c)

instructions

d)

orders

82.

What does a Collaborator in nursing do? Coordinates with __________ teams (physicians, PT, family).

a)

interdisciplinary

b)

financial

c)

marketing

d)

culinary

83.

What is the main responsibility of a Delegator in nursing? Fill in the blank: Assigns tasks based on staff skill, scope of practice, and __________ needs.

a)

client

b)

financial

c)

environmental

d)

administrative

84.

Which phase of the Nurse–Client Relationship establishes trust, sets tone, and defines roles and expectations?

a)

Introductory

b)

Working

c)

Termination

d)

Pre-interaction

85.

Which phase of the Nurse–Client Relationship involves active problem-solving, collaboration, and therapeutic interaction?

a)

Working

b)

Orientation

c)

Termination

d)

Pre-interaction

86.

Which phase of the Nurse–Client Relationship ends the relationship respectfully, reviews progress, and ensures follow-up?

a)

Terminating

b)

Orientation

c)

Working

d)

Assessment

87.

Which of the following is NOT an influencing factor in verbal communication?

a)

Vocabulary

b)

Cultural meaning

c)

Eye contact

d)

Timing

88.

Nonverbal communication includes which of the following?

a)

Vocabulary

b)

Tone

c)

Facial expressions

d)

Timing

89.

Which spatial zone is used for physical care?

a)

Intimate

b)

Personal

c)

Social

d)

Public

90.

Which spatial zone covers a distance of 4–12 feet and is used for teaching or rounds?

a)

Intimate

b)

Personal

c)

Social

d)

Public

91.

Fill in the blank: The _______ zone (12+ ft) is used for speeches or group talks.

a)

Public

b)

Personal

c)

Intimate

d)

Social

92.

Which therapeutic communication technique involves reviewing main points to confirm understanding?

a)

Active listening

b)

Summarizing

c)

Clarification

d)

Silence

93.

Fill in the blank: _______ allows reflection during therapeutic communication.

a)

Silence

b)

Advice

c)

Judgment

d)

Interruption

94.

Which of the following is an example of clarification in therapeutic communication?

a)

Nodding, saying “I see”

b)

“How are you feeling today?”

c)

“Can you explain what you mean by dizzy?”

d)

Allows reflection

95.

Task-oriented touch in nursing is used in procedures such as ________ and is functional and professional.

a)

dressing changes, catheter insertion

b)

patient counseling, emotional support

c)

family meetings, discharge planning

d)

medication teaching, health education

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