for Health Care Professionals, 5th Edition Carol D.
Tamparo
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,Solution and Answer Guide: Tamparo, Therapeutic Communication for Health Care Professionals, 5e, 2024, ISBN 9780357619018;
CHAPTER 1: THERAPEUTIC COMMUNICATION
Solution and Answer Guide
Tamparo, Therapeutic Communication for Health Care Professionals, 5e, 2024, ISBN
9780357619018; Chapter 1: Therapeutic Communication
TABLE OF CONTENTS
Stop and Consider ...................................................................................................................... 1
Stop and Consider 1.1 ........................................................................................................... 1
Stop and Consider 1.2 ........................................................................................................... 2
Stop and Consider 1.3 ........................................................................................................... 2
Stop and Consider 1.4 ........................................................................................................... 3
Stop and Consider 1.5 ........................................................................................................... 3
Exercises......................................................................................................................................4
Exercise 1 .............................................................................................................................. 4
Exercise 2 .............................................................................................................................. 6
Exercise 3 .............................................................................................................................. 6
Review Questions ....................................................................................................................... 7
For Further Consideration..........................................................................................................9
Case Studies..............................................................................................................................10
Case Study 1........................................................................................................................10
Case Study 2........................................................................................................................10
STOP AND CONSIDER
Stop and Consider 1.1
1. Identify positive aspects of Mrs. Nelson’s treatment in the emergency room.
Answer: Your information says that Mrs. Nelson was treated with care and concern in the
ER even though they were quite busy. Apparently, it had been difficult to stop the bleeding
for Mrs. Nelson, but they were finally able to do so and gave instructions about seeing her
PCP for follow-up.
© 2024 Cengage. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website,
in whole or in part.
2. You are the clinical receptionist for Mrs. Nelson’s provider. What will you say
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,Solution and Answer Guide: Tamparo, Therapeutic Communication for Health Care Professionals, 5e, 2024, ISBN 9780357619018;
CHAPTER 1: THERAPEUTIC COMMUNICATION
to Mrs. Nelson when she arrives? What will you do for her?
Answer: Answers will vary here, but the clinic receptionist should greet Mrs. Nelson in a
friendly and helpful manner, acknowledge her unfortunate injury, and get her in to see the
PCP as soon as possible. If possible, have the lab check her blood levels if there is to be a
delay and have the results ready for the PCP.
Stop and Consider 1.2
1. What might Mrs. Nelson’s feelings be right now?
Answer: About now, Mrs. Nelson is more upset; she is not having positive feelings about
either her PCP or the assistant who places a bandage over her bloody, matted hair. She
feels as if she has been rushed in this treatment.
2. Identify the positive actions in this case study.
Answer: It was positive that Mrs. Nelson was able to get her blood checked and the wound
rebandaged.
3. Identify the negative actions in this case study.
Answer: It was negative in the manner in which she was treated, the wait she endured, and
the bandage placed over her bloody, matted hair. It appears that Mrs. Nelson is a very
proud woman, and she is embarrassed by the mess in her hair.
Stop and Consider 1.3
1. Contrast the communication style of the two providers giving Mrs. Nelson care.
Answer: The first PCP was only interested in her injury and felt the ER had done sufficient
work to satisfy the situation. Her second PCP was interested in her first, and then in her
physical condition. An inquiry was made regarding the accident and the outcome of her
beloved pet.
2. Has the provider lost a client? Explain your response.
© 2024 Cengage. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, Answ
in whole or in part. er: It
seem
s
likely
2
,Solution and Answer Guide: Tamparo, Therapeutic Communication for Health Care Professionals, 5e, 2024, ISBN 9780357619018;
CHAPTER 1: THERAPEUTIC COMMUNICATION
that the first PCP has lost a client.
Stop and Consider 1.4
1. What do you think of Elaine’s decision and her attitude?
Answer: This story will probably provide the first opportunity for you to demonstrate
therapeutic communication as your students choose one of three likely opinions. One
opinion is that Elaine should never release her baby for adoption. Another opinion is that
she should never have gotten herself into that situation. The third opinion is that Elaine
made all the right decisions. Ask students if they could have been as therapeutic as the
delivery room nurse. Ask how they would respond if they thought Elaine’s actions were
wrong. As the instructor, remember that the classroom is no place for your bias or prejudice,
either. You must model what you teach if students are to really grasp the message of
therapeutic communication. Some students will be sympathetic to Elaine. Others will be
disgusted. The key here will be to help students realize that in their care for others, they
cannot allow their emotions to dictate the care they provide.
2. Was the hospital staff therapeutic? Justify your response.
Answer: The hospital staff was very therapeutic. The nurse was especially so in that she
kept all doors open for Elaine during this process. It was also helpful that Elaine did not have
to be around the other birth mothers. Perhaps the attorney has worked previously with this
hospital in the process, but that is unknown.
Stop and Consider 1.5
1. How do you feel about the cell phone service?
Answer: This cell phone service is inefficient. Making a client repeat the same information
over again is not helpful to anyone.
2. What is missing in this team’s communication?
Answer: There is no collaboration or cohesiveness in the communication. This
leaves the client in an awkward position.
© 2024 Cengage. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website,
in whole or in part.
3
,Solution and Answer Guide: Tamparo, Therapeutic Communication for Health Care Professionals, 5e, 2024, ISBN 9780357619018;
CHAPTER 1: THERAPEUTIC COMMUNICATION
3. What might have occurred to make this professional and technical
communication cohesive and therapeutic?
Answer: The second service person should have known what the problem was,
had the possible solution, thanked the client for waiting, and set about creating a
solution.
EXERCISES
Exercise 1
Read the following statements and select the 10 statements you think best describe you. Then
select 10 statements that you think least describe you. Ask a friend to indicate the statements
they think describe you the best, and the least.
“I AM” STATEMENTS
I am a perfectionist. I am afraid of failure.
I am dependable. I am hard to get along with.
I am reserved. I am competitive.
I am realistic. I am ambitious.
I am a happy person. I am courageous.
I am well liked. I am an understanding person.
I am easily hurt. I am often depressed.
I am impulsive. I am easygoing.
I am self-conscious. I am socially adept
I am secure. I am often lonely.
I am sympathetic. I am in control.
I am able to express emotions. I am socially inept.
I am unpredictable. I am disorganized.
I am often opinionated. I am well groomed.
I am All
© 2024 Cengage. creative. I am attractive.
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in whole or in part.
I am self-reliant. I am selfish.
I am naive. I am a decision-maker.
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,Solution and Answer Guide: Tamparo, Therapeutic Communication for Health Care Professionals, 5e, 2024, ISBN 9780357619018;
CHAPTER 1: THERAPEUTIC COMMUNICATION
I am sometimes incompetent. I am unattractive.
I am self-sacrificing. I am confident.
I am generous. I am precise.
I am able to live by rules. I am realistic.
I am a worrier. I am overprotective.
I am shy. I am energetic.
I am intelligent. I am tolerant.
I have a good self-image. I am responsible for myself.
I am a people person. I am content.
I am assertive. I am often insecure.
I am fickle. I am generally trusting.
I am argumentative. I am usually able to make decisions.
I am fun-loving. I am oversensitive.
I am often suspicious of others. I am poised.
Answer: Answers will vary. These Exercises are meant as a self-assessment for students.
Students may not wish to share these in class.
© 2024 Cengage. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website,
in whole or in part.
5
,Solution and Answer Guide: Tamparo, Therapeutic Communication for Health Care Professionals, 5e, 2024, ISBN 9780357619018;
CHAPTER 1: THERAPEUTIC COMMUNICATION
Exercise 2
Using the columns provided, list adjectives that describe how you might perceive yourself.
Ask the question, You may wish to ask What do you really Do I feel shame? If so,
“What kind of person someone who knows feel inside? when how?
do I wish to become?” you to describe you.
Answer: Answers will vary. These Exercises are meant as a self-assessment for students.
Students may not wish to share these in class.
Exercise 3
Write a paragraph discussing a recent incident, preferably personal, in which a communicator
failed to communicate what was intended. Analyze why this happened and how it could have
been avoided.
Answer: Answers will vary. These Exercises are meant as a self-assessment for students.
Students may not wish to share these in class.
© 2024 Cengage. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website,
in whole or in part.
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,Solution and Answer Guide: Tamparo, Therapeutic Communication for Health Care Professionals, 5e, 2024, ISBN 9780357619018;
CHAPTER 1: THERAPEUTIC COMMUNICATION
REVIEW QUESTIONS
1. A provider in one location using a telecommunications infrastructure to deliver care to a
client at a distant site is known as which of the following?
a. Teleprompting
b. Telemedicine
c. Televised visits
d. Therapeutic Communication
Answer: a
2. Which of the following is true about therapeutic communication?
a. Specific and well-defined professional skills are required.
b. There is no influence by personal feelings of self.
c. It takes place only in verbal communication.
d. It does not change with culture.
Answer: a
3. Which includes a list of the four selves?
a. Social self, real self, hidden self, and critic self
b. Ideal self, critic self, hidden self, and public self
c. Critic self, social self, ideal self, and real self
d. Ideal self, public self, real self, and critic self
Answer: d
4. What is essential in the feedback element of the communication
cycle?
a. The message is encoded and verified.
b. The message will always be verbal in format.
c. The receiver gets the message, decodes it, and verifies it with the sender.
d. Speaking, listening, gesturing, and writing form the elements of feedback.
Answer: c
5. What are the five Cs of verbal communication?
a. Complete, clear, concise, courteous, congruent
b. Complete, clear, concise, cohesive, courteous
c. Correct, concise, concrete, complete, courteous
d. Correct, clear, complete, courteous, congruent
© 2024 Cengage. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, Answ
in whole or in part. er: b
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, Solution and Answer Guide: Tamparo, Therapeutic Communication for Health Care Professionals, 5e, 2024, ISBN 9780357619018;
CHAPTER 1: THERAPEUTIC COMMUNICATION
6. According to experts, what percentage of communication is
nonverbal?
a. 32 percent
b. 7 percent
c. 70 percent
d. 93 percent
Answer: c
7. Which of the following best defines effective listening?
a. It is the passive part of communication, making it unimportant.
b. It requires concentration.
c. It comes naturally to most individuals and is the easiest part of communication.
d. It pays attention only to the spoken word.
Answer: b
8. The grouping of gestures, facial expressions, and postures into nonverbal statements is
known as:
a. bundling
b. clustering
c. converging
d. centering
Answer: b
9. In the opening case study, the nurse says, “Mrs. Nelson, I believe I can get most of the
dried blood from your hair with a warm cloth and some peroxide if you have just a little
bit of time.” What kind of skill is being demonstrated?
a. Social communication skill
b. Human relations skill
c. Technical relations skill
d. Professional communication skill
Answer: c
10. Which of the following is an example of the distance in personal space used in health
care?
a. Touching–11⁄2 feet
b. 11⁄2 –4 feet
© 2024 Cengage. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, c. 4
in whole or in part. –12
feet
d. 1
2–15
feet
8