Exam (elaborations)
Chapter 8. Effective Communication
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- West Virginia School Of Osteopathic Medicine
Chapter 8. Effective Communication
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Chapter 08: Effective CommunicationMULTIPLE CHOICE
1. The student learning about therapeutic communication techniques knows that the most
important concept in the definition of communication is
a. exchanging.
b. messages.
c. receiver.
d. sender.
ANS: A
The key word in the definition of communication is “exchanging,” which implies a giver and
a receiver and an active process.
Messages or signals are ways that information is shared.
The receiver is the person who gets the message, but this linear process does not account for
the dynamic nature of communication.
The sender is the person giving the message, but this linear process does not account for the
dynamic nature of communication.
DIF: Cognitive Level: Remember REF: 161
TOP: Integrated Process: Communication and Documentation
MSC: NCLEX Client Needs: Psychosocial Integrity
2. Why are communication theories that consider only a linear relationship between the sender
and receiver of messages considered to be too simplistic?
a. In relationships of unequal power, linear models do not work well.
b. Linear pathways imply both sender and receiver actually participate.
c. Linear models do not consider the dynamic interactions of multiple variables.
d. There are often more than one sender and more than one receiver.
ANS: C
Communication is a complex process that incorporates multiple variables, including
relationships, past experiences, and personalities.
These linear models simplify a process that is very complex and makes static a process that is
dynamic.
Linear models show communication flowing from a sender to a receiver; whether or not both
are active participants is not part of the criteria of linear models, although active participation
would create better communication.
There may be more than one sender and receiver in a communication exchange, but this
would make the theory more, not less, complex.
DIF: Cognitive Level: Understand REF: 161
TOP: Integrated Process: Communication
MSC: NCLEX Client Needs: Psychosocial Integrity
3. A nurse explains to a preceptor student that values clarification helps with intrapersonal
communication because
a. communication is enhanced when it occurs between people with similar values.
b. it allows the nurse to separate his or her values from those of the patient.
, c. it helps the nurse avoid saying things that might offend or anger others.
d. understanding values will help prevent communication misunderstandings.
ANS: B
Engaging in values clarification allows the nurse to separate his or her values from those of
the patient; this in turn allows the nurse to truly attend to what the patient is saying.
Communication may be more awkward when it is between people of vastly differing value
systems, but this would make values clarification more useful and help ease communication
tensions.
The purpose of values clarification is not to help avoid making offensive statements.
Clarity of the message is what will help avoid misunderstandings.
DIF: Cognitive Level: Analyze
TOP: Integrated Process: Communication and Documentation
MSC: NCLEX Client Needs: Psychosocial Integrity
4. A nurse usually avoids physical contact with patients, but when one is diagnosed with a
terminal disease, the nurse wishes to hug the patient. This contradiction initially confuses the
nurse, but a co-worker helps the nurse differentiate the two behavioral responses based on
a. feelings of closeness to this patient.
b. the context in which each occurred.
c. therapeutic communication techniques.
d. values that guided each situation.
ANS: B
Context is the biggest influence on the interpretation of communication, and it means more
than the place and time in which communication occurred. The nuances and shared meanings
that occur in each situation give rise to individually constructed meanings. In the setting of a
new terminal diagnosis, the nurse was aware of contextually driven communication needs and
responded by wanting to hug the patient.
Nurses do become closer to some patients than to others, but this is a very narrow explanation.
Touch is part of therapeutic communication, but this is too narrow an explanation.
Values are part of all communication encounters, but this is too narrow to explain the
appropriateness of the different responses.
DIF: Cognitive Level: Analyze
TOP: Integrated Process: Communication and Documentation
MSC: NCLEX Client Needs: Psychosocial Integrity
5. A nurse works with victims of sexual abuse. In counseling these individuals, the nurse often
elicits information that surprises the client when it is revealed. The nurse describes this
situation to a preceptor student as working in the part of the Johari window that is labeled the
__________ pane.
a. blind
b. hidden
c. open
d. unknown
ANS: D
The unknown pane represents the unconscious element that is not known to either party. This
information often is revealed during conversations.
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