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Fundamentals of Nursing, Communication Study Exam Questions & Answers.
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Fundamentals of Nursing, Communication Study Exam Questions & Answers. What phase of the therapeutic relationship is characterized by gathering information before meeting the client? - CORRECT ANSWER Phase 1 - Pre-Interaction phase What phase of the therapeutic relationship is characterized...

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  • August 7, 2024
  • 19
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • nursing
  • fundamentals of nursing communication study exam

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Fundamentals of Nursing,
Communication Study Exam Questions
& Answers.

What phase of the therapeutic relationship is characterized by gathering information before meeting the
client? - CORRECT ANSWER Phase 1 - Pre-Interaction phase



What phase of the therapeutic relationship is characterized by meeting clients, making conversation,
and establishing rapport? - CORRECT ANSWER 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? - CORRECT ANSWER Phase 3 - Working
phase



What phase of the therapeutic relationship is characterized by finding healthy ways to conclude a
relationship? - CORRECT ANSWER 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. -
CORRECT ANSWER 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 - CORRECT ANSWER 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" - CORRECT ANSWER 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. - CORRECT ANSWER 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 - CORRECT ANSWER 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. - CORRECT ANSWER 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." - CORRECT ANSWER 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.

3. Validate inferences by asking patient questions.

4. Recognize that what the patient says is most important. - CORRECT ANSWER 1. The patient is the
primary source of information. When nonverbal communication reinforces the verbal message, the
message reflects the true feelings of the patient because non verbal behavior is under less conscious
control than verbal statements.



The patient appears tearful and is quiet and withdrawn. The nurse says, "You seem very sad today."
What interviewing approach did the nurse use?

1.Examining

2.Reflecting

3.Clarifying

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