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WorksheetsTherapeutic COMMUNICATION, 22 MIN
Total questions: 14
Worksheet time: 21mins
A nurse is caring for a client recently diagnosed with terminal cancer. The client says, “I don’t understand why this is happening to me. I’ve always taken care of myself.” Which of the following responses by the nurse demonstrates empathy?
It sounds like you’re feeling confused and upset about your diagnosis.
I know how you feel. I would be upset too.
Sometimes life just isn’t fair, no matter what we do.
Let’s focus on what treatments we can try moving forward.
Which of the following best defines therapeutic communication in nursing practice?
A method of giving instructions clearly to ensure client compliance.
A client-centered approach that builds trust and promotes emotional expression.
A way for nurses to relate to the client.
A strategy used to direct the conversation.
A nurse is caring for a postoperative client who states, “I’m fine,” but avoids eye contact, speaks in a flat tone, and turns away when the nurse approaches. Which of the following is the best interpretation of this situation?
The client is expressing pain and wants more medication.
The client’s verbal and nonverbal communication are congruent.
The client’s nonverbal cues suggest emotional discomfort despite verbal reassurance.
The client prefers to be left alone and is setting a clear boundary.
A nurse is caring for a client with newly diagnosed diabetes who appears withdrawn and is avoiding eye contact. The nurse sits beside the client and says, “I’m here if you’d like to talk about anything.” Which type of communication is the nurse using, and what is the primary purpose?
Verbal communication to offer education
Nonverbal communication to confront the client’s behavior
Therapeutic communication to encourage expression of feelings
Assertive communication to establish nurse-client boundaries
A nurse is providing emotional support to a client recently diagnosed with a chronic illness. The nurse sits facing the client, with arms relaxed at the sides, leaning slightly forward, and maintains appropriate eye contact. Which of the following best describes the nurse’s communication posture and its intended effect?
Closed posture that communicates professionalism and authority
Open posture that conveys acceptance and active engagement
Closed posture that indicates respect for the client’s emotional space
Open posture to avoid overwhelming the client
The nurse understands that several factors can influence communication with a client. Which of the following factors may affect the effectiveness of communication between a nurse and a client? (Select all that apply.)
The client’s emotional state
The nurse’s use of medical jargon
Environmental noise and distractions
The client’s cultural background and language proficiency
The nurse’s body language and tone of voice
A 4-year-old child is scheduled for a dressing change after a burn injury. The child appears anxious and clings to the parent. The nurse kneels beside the child and says, “This might hurt a little, but I’ll be right here. Afterward, you can choose a sticker.” Which of the following best describes the nurse’s communication approach?
Age-inappropriate because it introduces fear by saying it will hurt
Age-appropriate and therapeutic, combining honesty, comfort, and distraction
Ineffective because it uses bribery, which reduces trust
Nontherapeutic because it shifts focus from feelings to a reward
An 82-year-old patient with mild hearing loss appears frustrated and frequently asks you to repeat information about their medication schedule. Which action by the nurse demonstrates the most effective therapeutic communication technique?
Speak louder and repeat the instructions.
Use simple, clear sentences and face the patient while speaking slowly.
Provide written instructions.
Speak to the caregiver instead of the patient.
A client during a gynecology visit tells the nurse, “My parents keep pressuring me to ‘start a family.’ I am not sure what to say.” Which response by the nurse demonstrates therapeutic communication?
It sounds like this situation is very stressful for you.
Maybe you could just tell them you’re unable to have children.
Tell them it’s your life and your choice.
Tell them to have more kids themselves or adopt.
Which therapeutic communication technique is most appropriate when a nurse finds a patient crying in her room?
Attempt to distract to cheer her up.
Ask what is bothering her.
Leave the room quietly and allow privacy to cry.
Sit beside her and offer the opportunity to express feelings.
A patient in a cancer treatment center says, “Why do I even bother with all of this.” What is the most therapeutic response by the nurse?
You sound discouraged. Do you want to talk more about how you’re feeling?
Try to stay positive—your treatment is going well.
Do you want to discuss your treatment plan with your provider?
Maybe you should consider changing to a different medication.
As the nurse prepares a client for coronary artery bypass surgery, the client asks, “Am I going to be okay?” Which response reflects therapeutic communication?
I hope everything turns out well.
Let’s take a moment to talk about what you’re feeling.
Don’t worry—your surgeon is one of the best.
This surgery is necessary to prevent more serious issues.
A patient is recovering from a stroke and is going through rehab including PT and OT. Which statement is the most therapeutic?
You look great this morning.
I like how you did your hair today.
Don’t worry—things will get better soon.
I noticed you were able to walk 10 minutes longer today.
Using nonverbal cues like gentle touch, smiling, and maintaining eye contact can enhance communication with a dementia patient.
True
False
