Therapeutic Communication Nursing Practice

1. Question 1
   • Orientation phase
   • Working phase
   • Preinteraction phase
   • Termination phase
2. Question 2
   • Analyzing the nurse’s communication patterns after the session
   • Exploring the client’s deeper coping mechanisms
   • Reviewing the achievements made during the interaction
   • Introducing the nurse’s name and role and explaining the expected time frame
3. Question 3
   • Begin by giving the client personal advice
   • Move the discussion to a private setting
   • Avoid explaining how long the discussion will take
   • Ask the client to agree with the nurse’s values
4. Question 4
   • Exploring client concerns, feelings, and coping mechanisms
   • Introducing the nurse and setting the time frame
   • Abruptly ending the communication session
   • Reviewing the record before meeting the client
5. Question 5
   • The client’s feelings and thought processes
   • The nurse’s personal experiences
   • The nurse’s need to finish the conversation quickly
   • The nurse’s opinions about the client’s decisions
6. Question 6
   • Keep in touch.
   • I’ll see you later.
   • We have about five minutes left; let’s review what we discussed.
   • I need to leave now, so we can stop talking.
7. Question 7
   • Before rapport has been established
   • When the goals of the therapeutic communication session have been met
   • Whenever the client expresses an emotion
   • Only when the nurse changes assignments
8. Question 8
   • The nurse attempts to change the client’s beliefs.
   • The nurse respects the client’s values while providing care.
   • The nurse tells the client which beliefs are appropriate.
   • The nurse avoids the client’s concerns.
9. Question 9
   • The working phase becomes more focused on the nurse.
   • Communication may be blocked, making therapeutic engagement difficult.
   • The client automatically assumes responsibility for the nurse’s decisions.
   • The client becomes more willing to disclose feelings.
10. Question 10
    • Working, orientation, preinteraction, termination
    • Preinteraction, orientation, working, termination
    • Preinteraction, working, orientation, termination
    • Orientation, preinteraction, termination, working
11. Question 11
    • A one-way explanation of information without client feedback
    • Purposeful professional communication that promotes client understanding and participation
    • Casual conversation intended mainly to entertain the client
    • Communication in which the nurse makes decisions for the client
12. Question 12
    • Passive listening
    • Competitive listening
    • Active listening
    • Reflective listening
13. Question 13
    • Preparing a response before the client finishes speaking
    • Avoiding eye contact while waiting for the client to finish
    • Assuming the message was understood
    • Restating the message and checking whether the understanding is correct
14. Question 14
    • Why are you worried?
    • You are worried about the procedure.
    • Are you worried about your procedure?
    • Tell me about your concerns.
15. Question 15
    • Change the subject to a less emotional topic.
    • Remain present and use a supportive nod without speaking.
    • Immediately ask a new question.
    • Tell the client not to think about the experience.
16. Question 16
    • You should explain that more clearly.
    • I know exactly what you mean.
    • I’m not sure I understand. Can you explain that?
    • That subject is not important right now.
17. Question 17
    • Why are you asking me?
    • What do you think are the pros and cons?
    • Yes, you should accept it.
    • I would accept it if I were you.
18. Question 18
    • Let’s talk about your meals instead.
    • Everyone feels nervous before discharge.
    • You’re feeling anxious about going home. Tell me more.
    • You should focus on the positive.
19. Question 19
    • You are such a good client.
    • You did that perfectly.
    • I am proud of you for doing a routine task.
    • I noticed you completed your communication practice today.
20. Question 20
    • I can sit with you for a few minutes.
    • I have experienced something similar.
    • I know exactly how you feel.
    • You need to stop worrying.
21. Question 21
    • Giving advice
    • Making observations
    • Showing approval
    • Changing the subject
22. Question 22
    • Whether the client is receptive and whether cultural or personal boundaries may be affected
    • Whether touch will shorten the conversation
    • Whether the client agrees with the nurse’s beliefs
    • Whether the nurse personally prefers touch
23. Question 23
    • Tell me more about what happened.
    • Can you explain what concerns you most?
    • Let’s not talk about that problem; it is time for your walk.
    • You seem upset; I am listening.
24. Question 24
    • Tell me more about your concerns about your parent’s confusion.
    • You seem concerned about the changes you have noticed.
    • Older adults are always confused.
    • How has this situation affected you?
25. Question 25
    • It is a form of therapeutic silence.
    • It may sound accusatory and cause defensiveness.
    • It focuses too much on the nurse’s feelings.
    • It always prevents the client from answering.
26. Question 26
    • You should follow my recommendation.
    • Your parent probably needs a nursing home.
    • Why have you not made this decision yet?
    • Let’s discuss the options available for your parent.
27. Question 27
    • What can I do to help?
    • You will definitely be fine.
    • It must be difficult not to know what will happen.
    • Tell me what concerns you most.
28. Question 28
    • That is terrible, and I would be devastated.
    • I feel so sorry for you.
    • I cannot imagine losing a limb.
    • This is a major change. How do you think it will affect your life?
29. Question 29
    • You should not consider that option.
    • How do you feel about your decision?
    • What are your goals for care?
    • Tell me more about the options you are considering.
30. Question 30
    • You are wrong about that.
    • You believe people have been dishonest. Tell me what happened.
    • No one here would lie to you.
    • You should not accuse the staff.

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