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UNIT 8: CHAPTER 44THERAPEUTIC COMMUNICATION SKILLS WORKBOOK PRACTICE TEST _________________________ space is an area around an individual reserved for only close friends or intimates _________________________ communication is that which stops the communication process or threatens the client.Aphasia often results from a _________________________ disorder or injury or a psychiatric disorderSuccessful therapeutic communication encourages client coping and _________________________ toward self-care A/An _________________________ is a goal-directed conversation in which one person seeks information the other What effective communication skills should the nurse use when caring for a child?_____Sender _____Message _____Medium _____Receiver _____ interaction A means of transmitting the ideaA person who interprets the messageAn originator or source of the ideaResponse to the message through feedback The idea What are the verbal barriers to communication What are the nonverbal forms of communication How does a firm touch differ from a light touch?What are the different forms of verbal communication by the nurse? What is proxemics?List the factors that affect communication? A nurse is caring for a client who has aphasia due to a stroke. How can the nurse communicate with this client?A nurse is caring for an elderly client. The client seems to be very reserved and disinterested in communicating with the nurse. How can the nurse obtain necessary information from the client that will be helpful in the treatment? A nurse is assessing a client at the healthcare facility. Which therapeutic communication technique helps to communicate to the client that the nurse has understood the client’s problem? Clarification ReflectionSummarization Paraphrasing A client has been admitted to the healthcare facility under an alias. What care should the nurse take with respect to this client? Address the client by his or her actual name only when aloneUse the client’s actual name for records and address the client by his or her aliasUse the client’s alias on the facility’s records only Address the client by his or her alias at all times A nurse is preparing a young client for surgery. The nurse understands that the client is worried and is afraid of the surgery. Which nonverbal expression helps the nurse to understand the client’s feelings?Wringing handsSlouched appearanceTwitching feetBouncing feet Which of the following precautions should the nurse take to ensure the correctness of a telephone message to a healthcare facility? Select all that apply.Write down the messageParaphrase the messageVerify the messageRemember the messageRepeat the messageA nurse is caring for a client who does not understand the language spoken by the nurse. Which would be an appropriate method of developing effective communication with the client?Avoid any verbal interaction with the clientRequest the assistance of an interpreterAsk a family member to translate Use a sign language to communicate A nurse is caring for a postoperative client who is unconscious. Which should the nurse do when caring for this client? Avoid introducing himself to the clientMaintain silence when caring for the clientExplain to the client the procedure to be performed Explain the client’s condition to the assisting nurse What appropriate intervention should the nurse take when caring for a visually impaired client?Enter the client’s room silently without disturbance Repeat instructions to ensure that the client has understoodIntroduce herself before entering or leaving the client’s room Touch the client quietly to make her presence felt A nurse is conduction a preadmission assessment for a client. Which of the following ensures effectiveness of the interview? Select all that applyNurse asks relevant questionsNurse does most of the talkingNurse asks open-ended questionsClient responds accuratelyClient is accompanied by a friendA client is fearful of being admitted to the healthcare facility. What should the nurse do to gain the confidence of the client? Select all that apply Inform the client of the need for admission Explain the treatment processMaintain a nonjudgmental attitude Remain calm when interacting with client Ignore the client’s fears When concluding a preliminary assessment of the client, what action ensures that the nurse has clearly understood all relevant information provided by the client?Echo the client’s wordsRecord all information on tapeDocument all the information Paraphrase the information NCLEX-STYLE REVIEW QUESTIONS CHAPTER 44 -PAGE 554The nurse is interviewing a client during admission to the hospital and the client gives information that is unclear to the nurse. What statement made by the nurse best demonstrates “seeking clarification?”I don't know what you are talking about.”“what did you say?”“We can move on to something else.”“Would you please explain what you meant?”The nurse is caring for a young child who appears frightened. What activity can the nurse perform with the child to determine what the child is feeling?Play dominoesDraw picturesRead a story Watch a movie A client that has been diagnosed with a terminal illness and is crying. What statement made by the nurse is a barrier for further communication?“everything will be okay. It’s out of your hands”“I am here if you would like to talk”“is there anything that I can do for you or questions that I can answer?”“This must be difficult for you.”A client is having abdominal pain. What open-ended statement can the nurse use to find out more about the client’s condition?“Tell me more about how you feel”“Rate your pain on a scale of 1 to 10.”“Point with one finger to where your pain is located.”“What medications are you taking?”The nurse has provided discharge instructions to a client. What statement made by the nurse can best help determine if the client understood the instructions?“Reread the instructions that I gave you.”“Did you understand the instructions?”“Please repeat back in your own words the instructions I gave you.”“I am going to give you questions regarding the instructions and I want you to answer them.”MATCHNonverbal therapeutic techniquesUse of silence Clarification ReflectionParaphrasingSummarizingUsing unfinished statements Closed-ended questionsOpen-ended questionsInterview _____ if the nurse tells the client what he or she heard, it helps the nurse to make sure it was what the client meant. Often the person adds more to the statement or clarifies the nurse’s interpretation _____ gives the client and nurse an opportunity to collect their thoughts and prepare to continue the conversation _____ is necessary if the client’s answer is unclear, or the nurse wants additional information. The nurse can ask the client to repeat what was said, or may say. “Tell me more about it” or “Explain that to me.”_____ if you make this the client may finish it _____ helps the nurse to clarify the interpretation of the message by restating it in other words_____ a goal-directed conversation in which one person seeks information from another _____ body language provides cues in communication _____ can be used in two ways. The nurse may echo the client’s words, allowing the client to hear what he or she has just said, or to point out the client’s behavior or attitude that seems to be underlying his or her words _____ brief and predictable responses are required _____ encourages longer and more thorough answers ................
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