Fundamentals of Nursing, Communication.
Exam Prep Questions And Correct Answers, With
Complete Solution 2024.
What phase of the therapeutic relationship is characterized by gathering
information before meeting the client?
Phase 1 - Pre-Interaction phase
What phase of the therapeutic relationship is characterized by meeting clients,
making conversation, and establishing rapport?
Phase 2 - Orientation phase
What phase of the therapeutic relationship is characterized using techniques
related to therapeutic communication and allowing the client to clarify any
concerns?
Phase 3 - Working phase
What phase of the therapeutic relationship is characterized by finding healthy
ways to conclude a relationship?
Phase 4 - Termination phase
The main purpose of the working phase of a therapeutic nurse-patient
relationship is to:
1. Establish a formal or informal contract that addresses the patients problems
2. Implement nursing interventions designed to achieve expected patient
outcomes.
3. Develop rapport and trust so the patient feels protected and an initial care plan
can be identified
4. Clearly identify the role of the nurse and establish parameters of the
professional relationship.
2. During the working phase of the therapeutic relationship, nursing interventions have a
two fold purpose: assisting patients to explore and understand their thoughts and
feelings and supporting patient decisions and actions.
The nurse uses reflective technique when communicating with an anxious
patient. The nurse uses reflective technique in this situation because it focuses
on:
1. Feelings
2. Content themes
3. Clarification of information
4. Summarization of the topics discussed
1. The reflective technique requires active listening to identify the underlying emotional
concerns or feelings contained in a patient's messages. These feelings are then
referred back to the patients to promote a clearer understanding of what they have said.
A patient says, "I don't know if I'll make it through this surgery." Which response
by the nurse may block further communication by the patient?
1."You sound scared"
2."You think you will die"
, 3."Surgery can be frightening"
4."Everything will be alright"
4. This response is false reassurance. It denies the patient's concerns about survival
and does not invite the patient to elaborate.
The patient states "My wife is going to be very upset that my prostate surgery
probably is going to leave me impotent." What is the best response by the nurse?
1.I'm sure your wife will be willing to make the sacrifice in exchange for your well-
being
2.The doctors are getting great results with nerve-sparing surgery today.
3.Your wife may not put as much emphasis on sex as you think.
4.Let's talk about how you feel about this surgery.
4. The patient may be using projection to cope with the potential for impotence. This
response indicates that it is acceptable to talk about sexuality and invites the patient to
verbalize concerns.
The patient states " I think that I am dying" The nurse responds, "You feel as
though you are dying?". What interview approach did the nurse use?
1.Focusing
2. Reflecting
3.Validating
4. Paraphrasing
4. The nurses response is an example of paraphrasing because it uses similar words to
restate the patients message.
The nurse plans to foster a therapeutic relationship with a patient. It is most
important that the nurse:
1. Works on establishing a friendship with the patient.
2. Use humor to defuse emotionally charged topics of discussion.
3. Sympathize with the patient when the patient shares sad feelings.
4. Demonstrate respect when discussing emotionally charged topics.
4. Emotionally charged topics should be approached with respectful, sincere,
interactions that are accepting and non-judgmental, which will promote further
verbalization.
A patient who is to receive nothing by mouth (NPO) in preparation for a
bronchoscopy says,"I am worried about the test and I can't even have a drink of
water." What is the best response by the nurse?
1. "Lets talk about your concerns regarding this test."
2. "I'll see if the doctor will let you have some ice chips"
3. "The doctor will review the results of the test as soon as possible."
4. As soon as the test is over I'll get you whatever you would like to drink."
1. This response encourages the patient to explore concerns. Verbalization of concerns,
validating of feelings, and patient teaching may help reduce anxiety.
A patient verbally communicates with the nurse while exhibiting nonverbal
behavior. To confirm the meaning of the nonverbal behavior, the nurse should:
1. Look for similarity in meaning between the patient's verbal and nonverbal
behavior.
2. Ask family members to help interpret the patient's behavior.
Exam Prep Questions And Correct Answers, With
Complete Solution 2024.
What phase of the therapeutic relationship is characterized by gathering
information before meeting the client?
Phase 1 - Pre-Interaction phase
What phase of the therapeutic relationship is characterized by meeting clients,
making conversation, and establishing rapport?
Phase 2 - Orientation phase
What phase of the therapeutic relationship is characterized using techniques
related to therapeutic communication and allowing the client to clarify any
concerns?
Phase 3 - Working phase
What phase of the therapeutic relationship is characterized by finding healthy
ways to conclude a relationship?
Phase 4 - Termination phase
The main purpose of the working phase of a therapeutic nurse-patient
relationship is to:
1. Establish a formal or informal contract that addresses the patients problems
2. Implement nursing interventions designed to achieve expected patient
outcomes.
3. Develop rapport and trust so the patient feels protected and an initial care plan
can be identified
4. Clearly identify the role of the nurse and establish parameters of the
professional relationship.
2. During the working phase of the therapeutic relationship, nursing interventions have a
two fold purpose: assisting patients to explore and understand their thoughts and
feelings and supporting patient decisions and actions.
The nurse uses reflective technique when communicating with an anxious
patient. The nurse uses reflective technique in this situation because it focuses
on:
1. Feelings
2. Content themes
3. Clarification of information
4. Summarization of the topics discussed
1. The reflective technique requires active listening to identify the underlying emotional
concerns or feelings contained in a patient's messages. These feelings are then
referred back to the patients to promote a clearer understanding of what they have said.
A patient says, "I don't know if I'll make it through this surgery." Which response
by the nurse may block further communication by the patient?
1."You sound scared"
2."You think you will die"
, 3."Surgery can be frightening"
4."Everything will be alright"
4. This response is false reassurance. It denies the patient's concerns about survival
and does not invite the patient to elaborate.
The patient states "My wife is going to be very upset that my prostate surgery
probably is going to leave me impotent." What is the best response by the nurse?
1.I'm sure your wife will be willing to make the sacrifice in exchange for your well-
being
2.The doctors are getting great results with nerve-sparing surgery today.
3.Your wife may not put as much emphasis on sex as you think.
4.Let's talk about how you feel about this surgery.
4. The patient may be using projection to cope with the potential for impotence. This
response indicates that it is acceptable to talk about sexuality and invites the patient to
verbalize concerns.
The patient states " I think that I am dying" The nurse responds, "You feel as
though you are dying?". What interview approach did the nurse use?
1.Focusing
2. Reflecting
3.Validating
4. Paraphrasing
4. The nurses response is an example of paraphrasing because it uses similar words to
restate the patients message.
The nurse plans to foster a therapeutic relationship with a patient. It is most
important that the nurse:
1. Works on establishing a friendship with the patient.
2. Use humor to defuse emotionally charged topics of discussion.
3. Sympathize with the patient when the patient shares sad feelings.
4. Demonstrate respect when discussing emotionally charged topics.
4. Emotionally charged topics should be approached with respectful, sincere,
interactions that are accepting and non-judgmental, which will promote further
verbalization.
A patient who is to receive nothing by mouth (NPO) in preparation for a
bronchoscopy says,"I am worried about the test and I can't even have a drink of
water." What is the best response by the nurse?
1. "Lets talk about your concerns regarding this test."
2. "I'll see if the doctor will let you have some ice chips"
3. "The doctor will review the results of the test as soon as possible."
4. As soon as the test is over I'll get you whatever you would like to drink."
1. This response encourages the patient to explore concerns. Verbalization of concerns,
validating of feelings, and patient teaching may help reduce anxiety.
A patient verbally communicates with the nurse while exhibiting nonverbal
behavior. To confirm the meaning of the nonverbal behavior, the nurse should:
1. Look for similarity in meaning between the patient's verbal and nonverbal
behavior.
2. Ask family members to help interpret the patient's behavior.
