TEST BANK Interpersonal Relationships 9/E Kathleen Underman Boggs
Chapter 01: Communication Theories and Nursing Concepts
Boggs: Interpersonal Relationships, 9th Edition
MULTIPLE CHOICE
1. What makes the study of communication theory a challenge?
a. Related knowledge is very changing.
b. It is not widely accepted by the nursing community.
c. It is a simple theory attempting to manage complex issues.
d. It is not evidence based.
ANS: A
The study of communication theory and skills is a complex issue complicated by the fact that
knowledge is evolving. While nursing research is at an early developmental stage, applying
evidence-based communication practices is a crucial component of care.
DIF: Cognitive Level: Remembering TOP: Step of the Nursing Process: All Phases
MSC: Client Needs: Psychosocial Integrity
2. What did the IOM Reports advocate as a key means of delivering complex care to the
chronically ill?
a. Setting standardized goals
b. Eliminating role boundaries among providers
c. Focusing on hospital focused care
d. Health care team collaboration
ANS: D
The IOM Reports advocated health team collaborative care as a key means of delivering
complex care, particularly for management of chronic illness. None of the other options were
cited as recommendations.
DIF: Cognitive Level: Remembering TOP: Step of the Nursing Process: All Phases
MSC: Client Needs: Management of Care
3. What did the IOM Reports advocate regarding networking skills among health providers?
a. They are primarily relegated to primary health care providers.
b. They should be used to achieve clinical outcomes.
c. They have little value when evaluating team competence.
d. They rarely exist between team members.
ANS: B
How health providers should use collaborative and networking skills to achieve clinical
outcomes and they should become a measure of systems-based team competence.
DIF: Cognitive Level: Remembering TOP: Step of the Nursing Process: All Phases
MSC: Client Needs: Management of Care
4. Nursing’s metaparadigm, or worldview, distinguishes the nursing profession from other
disciplines and emphasizes its unique functional characteristics. What are the four key
concepts that form the foundation for all nursing theories?
a. Caring, compassion, health promotion, and education
, b. Respect, integrity, honesty, and advocacy
c. Person, environment, health, and nursing
d. Nursing, teaching, caring, and health promotion
ANS: C
Individual nursing theories represent different interpretations of the phenomenon of nursing,
but central constructs—person, environment, health, and nursing—are found in all theories
and models. They are referred to as nursing’s metaparadigm.
DIF: Cognitive Level: Remembering TOP: Step of the Nursing Process: All Phases
MSC: Client Needs: Management of Care
5. When admitting a patient to the medical-surgical unit, the nurse is demonstrating use of which
core concept when asking the patient about cultural issues?
a. Person
b. Environment
c. Health
d. Nursing
ANS: B
Four core constructs make up professional nursing’s metaparadigm: person, environment,
health, and nursing. The concept of environment includes all cultural, developmental, and
social determinants that influence a patient’s health perceptions and behavior. A person is
defined as the recipient of nursing care, having unique bio-psycho-social and spiritual
dimensions. The word health derives from the word whole. Health is a multidimensional
concept, having physical, psychological, sociocultural, developmental, and spiritual
characteristics. The World Health Organization (WHO) defines health as “a state of complete
physical, mental, social well-being, not merely the absence of disease or infirmity.” Nursing
includes the promotion of health, prevention of illness, and the care of ill, disabled, and dying
people.
DIF: Cognitive Level: Understanding TOP: Step of the Nursing Process: Assessment
MSC: Client Needs: Psychosocial Integrity
6. A young mother tells the nurse, “I’m worried because my son needs a blood transfusion. I
don’t know what to do because blood transfusions cause AIDS.” Which central nursing
construct is represented in this situation?
a. Environment
b. Caring
c. Health
d. Person
ANS: D
, The concept of environment includes all cultural, developmental, and social determinants that
influence a patient’s health perceptions and behavior. Person is defined as the recipient of
nursing care, having unique bio-psycho-social and spiritual dimensions. Caring is not one of
the four central nursing constructs. The word health derives from the word whole. Health is a
multidimensional concept, having physical, psychological, sociocultural, developmental, and
spiritual characteristics. The World Health Organization (WHO) defines health as “a state of
complete physical, mental, social well-being, not merely the absence of disease or infirmity.”
Nursing includes the promotion of health, prevention of illness, and the care of ill, disabled,
and dying people.
DIF: Cognitive Level: Understanding TOP: Step of the Nursing Process: Implementation
MSC: Client Needs: Psychosocial Integrity
7. The nurse performs a dressing change using sterile technique. This is an example of which
pattern of knowledge?
a. Empirical
b. Personal
c. Aesthetic
d. Ethical
ANS: A
Empirical knowledge is the scientific rationale for skilled nursing interventions incorporated
from the natural and biological sciences. Personal ways of knowing allow the nurse to
understand and treat each individual as a unique person. Aesthetic ways of knowing allow the
nurse to connect in different and more meaningful ways. Ethical ways of knowing refer to the
moral aspects of nursing.
DIF: Cognitive Level: Understanding TOP: Step of the Nursing Process: Implementation
MSC: Client Needs: Reduction of Risk Potential
8. What makes the nurse-patient relationship is unique?
a. It is most useful in a short-stay unit.
b. It allows personal and social growth to occur primarily for the patient.
c. It requires a special form of communication.
d. It focuses on maintaining a personal relationship between the nurse and the patient.
ANS: C
The professional nurse-patient communication is different, requiring you learn new skills
especially related to communication competencies. Accurate, effective, timely communication
is a key aspect for providing safe and effective patient-centered healthcare. None of the
remaining options accurately describe this form of therapeutic relationship.
DIF: Cognitive Level: Remembering TOP: Step of the Nursing Process: All Phases
MSC: Client Needs: Psychosocial Integrity
9. What is the primary focus of the initial phase of a therapeutic nurse-patient relationship?
a. Identifying expected goals
b. Providing information related to the assessment phase of the nursing process
c. Exploring concerns
d. Identifying community resources to help resolve health care issues
ANS: C
, To begin to develop a therapeutic nurse-patient relationship, opportunities should be given for
the patient to express concerns and ask questions. As the relationship progresses,
communication skills are used to convey caring and respect for patient concerns. We can then
begin to develop a mutual plan of care to reach desired treatment goals.
DIF: Cognitive Level: Remembering TOP: Step of the Nursing Process: Implementation
MSC: Client Needs: Management of Care
10. Which of the following is NOT a specific way interpersonal health communication impacts
health care service quality?
a. More effective diagnosis and earlier recognition of health changes
b. Better understanding of the patient’s condition
c. Development of a workable treatment partnership
d. Each communicator constructing a mental picture of the other during the
conversation
ANS: D
Communication between health care providers and patients impacts the way care is delivered;
it is as important as the care itself. Outcomes of effective interpersonal communication in
health care relate to higher patient satisfaction and productive health changes.
DIF: Cognitive Level: Understanding TOP: Step of the Nursing Process: All Phases
MSC: Client Needs: Management of Care
11. Which statement about communication theory is true?
a. Primates are able to learn new languages to share ideas and feelings.
b. Concepts include only verbal communication.
c. Perceptions are clarified through feedback.
d. Past experience does not influence communication.
ANS: C
Feedback is the only way to know that one’s perceptions about meanings are valid. Human
communication is unique. Only human beings have large vocabularies and are capable of
learning new languages as a means of sharing their ideas and feelings. Communication
includes language, gestures, and symbols to convey intended meaning, exchange ideas and
feelings, and to share significant life experience. To encode a message appropriately requires a
clear understanding of the receiver’s mental frame of reference (e.g., feelings, personal
agendas, past experiences) and knowledge of its purpose or intent of the communication.
DIF: Cognitive Level: Remembering TOP: Step of the Nursing Process: Assessment
MSC: Client Needs: Psychosocial Integrity
12. What statement is true regarding the transactional model of communication?
a. Questions are framed in order to recognize the context of the message.
b. People take only complementary roles in the communication.
c. The context of the communication is unimportant.
d. The purpose of communication is to influence the receiver.
ANS: A
