Townsend
PMHN, 10e
Chapter 7 - ETB
Chapter 7. Therapeutic Communication
MULTIPLE CHOICE
1. Which therapeutic communication technique is being used in this nurse-client
interaction?
Client: “When I get angry, I get into a fistfight with my partner or I take it out on the
kids.”
Nurse: “I notice that you are smiling as you talk about this physical violence.”
1. Encouraging comparison
2. Exploring
3. Formulating a plan of action
4. Making observations
ANS: 4
Chapter: Chapter 7 Therapeutic Communication
Objective: Describe therapeutic and nontherapeutic verbal communication techniques.
Page: 126
Heading: Therapeutic Communication Techniques > Table 7–2 Therapeutic
Communication Techniques
Integrated Processes: Nursing Process: Implementation
Client Need: Psychosocial Integrity
Cognitive Level: Application [Applying]
Concept: Communication
Difficulty: Moderate
This is incorrect. The nurse is using the therapeutic communication technique of
making observations by noting that the client smiles when talking about physical
violence. The technique of making observations encourages the client to compare
personal perceptions with those of the nurse. Encouraging comparison is a
therapeutic technique that involves asking the client to compare similarities and
differences in ideas, experiences, or interpersonal relationships.
This is incorrect. The nurse is using the therapeutic communication technique of
making observations by noting that the client smiles when talking about physical
violence. The technique of making observations encourages the client to compare
personal perceptions with those of the nurse.
This is incorrect. The nurse is using the therapeutic communication technique of
making observations by noting that the client smiles when talking about physical
violence. The technique of making observations encourages the client to compare
personal perceptions with those of the nurse. Formulating a plan assists the client in
making a plan to prevent anger or anxiety from escalating.
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7. A nurse is assessing a client diagnosed with schizophrenia for the presence of hallucinations.Which therapeutic communication technique used by the nurse is an example of makingobservations?A. “You appear to be talking to someone I do not see.”B. “Please describe what you are seeing.”C. “Why do you continually look in the corner of this room?”D. “If you hum a tune, the voices may not be so distracting.”ANS: A8. A nurse maintains an uncrossed arm and leg posture. This nonverbal behavior is reflective ofwhich letter of the SOLER acronym for active listening?A. SB. OC. LD. EE. RANS: B9. An instructor is correcting a nursing student’s clinical worksheet. Which instructor statement isthe best example of effective feedback?
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A. “Why did you use the client’s name on your clinical worksheet?”B. “You were very careless to refer to your client by name on your clinical worksheet.”C. “I noticed that you used the client’s name in your written process recording. That is a breachof confidentiality.”D. “It is disappointing that after being told, you’re still using client names on your worksheet.”ANS: C10. After assertiveness training, a formerly passive client appropriately confronts a peer in grouptherapy. The group leader states, “I’m so proud of you for being assertive. You are so good!”Which communication technique has the leader employed?A. The nontherapeutic technique of giving approvalB. The nontherapeutic technique of interpretingC. The therapeutic technique of presenting realityD. The therapeutic technique of making observationsANS: A11. What is the purpose of a nurse providing appropriate feedback?A. To give the client good adviceB. To advise the client on appropriate behaviorsC. To evaluate the client’s behaviorD. To give the client critical informationANS: D12. A client who frequently exhibits angry outbursts is diagnosed with antisocial personalitydisorder. Which appropriate feedback should a nurse provide when this client experiences anangry outburst?A. “Why do you continue to alienate your peers by your angry outbursts?”B. “You accomplish nothing when you lose your temper like that.”C. “Showing your anger in that manner is very childish and insensitive.”
D. “During group, you raised your voice, yelled at a peer, and slammed the door.”ANS: D13. A client diagnosed with dependent personality disorder states, “Do you think I should movefrom my parent’s house and get a job?” Which nursing response is most appropriate?A. “It would be best to do that in order to increase independence.”B. “Why would you want to leave a secure home?”C. “Let’s discuss and explore all of your options.”D. “I’m afraid you would feel very guilty leaving your parents.”ANS: C
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