Therapeutic Communication NCLEX Quiz

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Therapeutic Communication NCLEX Quiz - Quiz

Do you understand therapeutic communication very well? Then take this therapeutic communication NCLEX quiz and test your understanding of it. Therapeutic communication is understood as the face-to-face process of interaction for the advancement of the physical and emotional well-being of a patient. All questions are shown, but the results will only be given after you’ve finished the quiz. We wish you good luck with this quiz. Give your best and score as high as you can.


Questions and Answers
  • 1. 

    An admitted client diagnosed with OCD washes their hands continually. This behavior results in the prevention of unit activity attendance. Which of these nursing statements best addresses this situation?

    • A.

      “Everyone diagnosed with OCD needs to control their ritualistic behaviors.”

    • B.

      “It is important for you to discontinue these ritualistic behaviors.”

    • C.

      “Why do you need help if you can’t participate in unit therapy?”

    • D.

      “Let’s figure out a way for you to attend unit activities and still wash your hands.”

    Correct Answer
    D. “Let’s figure out a way for you to attend unit activities and still wash your hands.”
    Explanation
    The correct answer is "Let's figure out a way for you to attend unit activities and still wash your hands." This statement acknowledges the client's need to wash their hands due to their OCD, while also addressing the issue of them not being able to attend unit activities. It shows a willingness to work with the client to find a solution that accommodates their needs while also allowing them to participate in therapy.

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  • 2. 

    Which of these examples of a therapeutic communication technique is gonna be effective in the planning phase of the nursing process?

    • A.

      “We’ve discussed past coping skills. Let’s see if these coping skills can be effective now.”

    • B.

      “Please tell me what brought you to the hospital.”

    • C.

      “This new approach was good for you. Keep it up.”

    • D.

      “I notice you hear noises that I do not hear.”

    Correct Answer
    A. “We’ve discussed past coping skills. Let’s see if these coping skills can be effective now.”
    Explanation
    The correct answer is effective in the planning phase of the nursing process because it acknowledges the patient's past coping skills and suggests evaluating their effectiveness in the present situation. This aligns with the goal of the planning phase, which is to create a plan of care based on the patient's individual needs and resources.

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  • 3. 

    A patient complaints about the bad behavior of someone with the staff. As a nurse, you should

    • A.

      Let the patient feel he is being heard, and he will definitely not face the same situation again.

    • B.

      Tell the patient it doesn't happen here.

    • C.

      Tell the patient that he must have misunderstood things.

    • D.

      All of these

    Correct Answer
    A. Let the patient feel he is being heard, and he will definitely not face the same situation again.
    Explanation
    The correct answer is to let the patient feel he is being heard, and he will definitely not face the same situation again. This is the most appropriate response as a nurse because it acknowledges the patient's complaint and ensures that they feel listened to and understood. By addressing the patient's concerns and taking steps to prevent a recurrence of the bad behavior, the nurse can help improve the patient's experience and maintain a positive relationship.

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  • 4. 

    A patient panics, the best way to communication as a nurse would be

    • A.

      Ask the patient a lot of questions.

    • B.

      Tell the patient not to overreact

    • C.

      To hold his hand. Calm the patient down and listen to him properly.

    • D.

      None of these

    Correct Answer
    C. To hold his hand. Calm the patient down and listen to him properly.
    Explanation
    During a panic situation, the best way for a nurse to communicate with a patient is to hold their hand, calm them down, and listen to them properly. Holding their hand provides physical reassurance and comfort, helping to establish a sense of trust and safety. Calming the patient down allows them to regain control over their emotions and thoughts, enabling effective communication. By actively listening to the patient, the nurse can understand their concerns, address them appropriately, and provide the necessary support and care. This approach promotes a therapeutic nurse-patient relationship and facilitates effective communication in a stressful situation.

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  • 5. 

    ___________ is the best way to build the feeling of togetherness with the patient.

    • A.

      Active listening 

    • B.

      Sharing humor

    • C.

      Silence

    • D.

      Both A & C

    Correct Answer
    B. Sharing humor
    Explanation
    Sharing humor is the best way to build the feeling of togetherness with the patient because laughter has the power to create a positive and friendly atmosphere. When a healthcare provider shares humor with a patient, it helps to establish a connection and build rapport. It can also help alleviate stress and anxiety, making the patient feel more comfortable and relaxed. Additionally, humor can enhance communication and promote a sense of togetherness, as both the healthcare provider and the patient can share in the laughter together.

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  • 6. 

    A client speaks to the nurse. “I feel bad because my mother wants me not to return home after leaving the hospital.” Which nursing response is therapeutic?

    • A.

      “It’s quite common for clients to feel that way after a lengthy hospitalization.”

    • B.

      “Why don’t you talk to your mother? You may find out she doesn’t feel that way.”

    • C.

      “Your mother is like an understanding person. I’ll help you.”

    • D.

      “You feel that your mother does not want you to come back home?”

    Correct Answer
    D. “You feel that your mother does not want you to come back home?”
    Explanation
    The correct answer is "You feel that your mother does not want you to come back home?" This response reflects active listening and empathy, as it acknowledges the client's feelings and allows them to further express their concerns. It also opens up the opportunity for the nurse to explore the client's relationship with their mother and provide appropriate support and guidance.

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  • 7. 

    The nurse asks a newly admitted client. “What can we do to help you?” Find the purpose of this therapeutic communication technique.

    • A.

      To reframe the client’s thoughts about a mental health treatment.

    • B.

      To make the client calm.

    • C.

      To explore a subject, idea, experience, or relationship.

    • D.

      To communicate that the nurse is listening to the conversation.

    Correct Answer
    C. To explore a subject, idea, experience, or relationship.
    Explanation
    The purpose of the nurse asking the client "What can we do to help you?" is to explore a subject, idea, experience, or relationship. By asking this question, the nurse is encouraging the client to express their needs, concerns, and preferences. It allows the nurse to gather information about the client's specific situation and tailor their care accordingly. This therapeutic communication technique helps to establish a trusting and collaborative relationship between the nurse and the client, facilitating effective care and support.

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  • 8. 

    ______ is most important when patience is telling something very important in his statement.

    • A.

      Sharing humor

    • B.

      Showing empathy

    • C.

      Focus

    • D.

      Physical touch

    Correct Answer
    C. Focus
    Explanation
    When patience is telling something very important in his statement, focus becomes the most important aspect. This means that patience needs to concentrate and pay attention to what he is saying, ensuring that he is fully engaged in the conversation. By being focused, patience can effectively convey his message and ensure that it is understood and valued by the listener.

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  • 9. 

    A client’s younger daughter has been ignoring curfew. The client states. “I think she will get pregnant.” The nurse responds. “Hang in there. she has a lot to learn about the life, isn't it?” This is an example of which communication block?

    • A.

      Requesting an explanation

    • B.

      Belittling the client

    • C.

      Making stereotyped comments

    • D.

      Probing

    Correct Answer
    C. Making stereotyped comments
    Explanation
    The nurse's response of "Hang in there. she has a lot to learn about life, isn't it?" is an example of making stereotyped comments. The nurse is making a generalization about the client's daughter based on her behavior, assuming that she will get pregnant because she is ignoring curfew. This comment lacks empathy and understanding, and it may perpetuate negative stereotypes about young people and their choices.

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  • 10. 

    Which of these nursing statements is a good example of the therapeutic communication technique of giving recognition?

    • A.

      “You did not attend group today. Can we talk about that?”

    • B.

      “I’ll sit with you till the family session.”

    • C.

      “I notice you are wearing a new dress, and you have washed your hair.”

    • D.

      “I’m happy you are careful with your medications. They will really help.”

    Correct Answer
    C. “I notice you are wearing a new dress, and you have washed your hair.”
    Explanation
    The answer "I notice you are wearing a new dress, and you have washed your hair" is a good example of the therapeutic communication technique of giving recognition because it acknowledges and appreciates the patient's efforts and appearance, showing that the nurse is paying attention and validating their actions. This statement helps to build rapport and trust between the nurse and the patient, promoting a therapeutic relationship.

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  • 11. 

    The patient tells the nurse about his uneasy feelings. The best thing that the nurse should do is to

    • A.

      Be silent

    • B.

      Share humor

    • C.

      Make observation

    • D.

      Share empathy

    Correct Answer
    D. Share empathy
    Explanation
    In this scenario, the patient expresses his uneasy feelings to the nurse. Sharing empathy is the best response in this situation because it shows the patient that the nurse understands and cares about his emotions. By sharing empathy, the nurse can provide emotional support, validate the patient's feelings, and create a therapeutic environment where the patient feels heard and understood. This can help build trust and rapport between the nurse and the patient, ultimately enhancing the patient's overall experience and well-being.

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  • 12. 

    A client is struggling to solve a problem. Which of these nursing statements would verbalize the implication of the client’s actions?

    • A.

      “You seem to be motivated to change your behavior.”

    • B.

      “How are these changes gonna affect your family relationships?”

    • C.

      “Why don’t you keep a list of the behaviors you need to change.”

    • D.

      “The team recommends that you make only one behavioral change at a time.”

    Correct Answer
    A. “You seem to be motivated to change your behavior.”
    Explanation
    The correct answer implies that the client is showing a willingness and desire to make a change in their behavior. This statement acknowledges the client's motivation and suggests that they are actively working towards solving their problem.

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  • 13. 

    A student nurse speaks to the instructor. “I’m concerned that when a client asks me for advice, I won’t have a good solution.” Which should be the nursing instructor’s best response?

    • A.

      “It’s scary to feel put on the spot by a client. Nurses don’t always have the answer.”

    • B.

      “Remember, clients, not nurses. are responsible for their own choices and decisions.”

    • C.

      “Just keep the client’s best interests in mind and do the best that you can.”

    • D.

      “Set a goal to continue to work on this aspect of your practice.”

    Correct Answer
    B. “Remember, clients, not nurses. are responsible for their own choices and decisions.”
    Explanation
    The correct answer emphasizes the importance of client autonomy and responsibility. It reminds the student nurse that it is not their role to have all the answers or make decisions for the client. Instead, the nurse should support the client in making their own choices and decisions. This response promotes client-centered care and empowers the client to take ownership of their healthcare decisions.

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  • 14. 

    A student nurse is learning about the appropriate use of touch when communicating with clients diagnosed with psychiatric disorders. Which statement by the instructor best provides information about this aspect of therapeutic communication?

    • A.

      “Touch carries a different meaning for different individuals.”

    • B.

      “Touch is often used when de-escalating volatile client situations.”

    • C.

      “Touch is used to convey interest and warmth.”

    • D.

      “Touch is best combined with empathy when dealing with anxious clients.”

    Correct Answer
    A. “Touch carries a different meaning for different individuals.”
    Explanation
    The correct answer is "Touch carries a different meaning for different individuals." This statement best provides information about the appropriate use of touch when communicating with clients diagnosed with psychiatric disorders. It acknowledges that the meaning of touch can vary from person to person and emphasizes the importance of understanding and respecting individual boundaries and preferences. This understanding is crucial in maintaining a therapeutic and respectful relationship with clients.

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  • 15. 

    Which of the nursing statements is a good example of the therapeutic communication technique of focusing?

    • A.

      “Describe one of the best things that happened to you this week.”

    • B.

      “I’m having a difficult time understanding what you mean.”

    • C.

      “Your counseling session is in 30 minutes. I’ll stay with you until then.”

    • D.

      “You mentioned your relationship with your father. Let’s discuss that further.”

    Correct Answer
    D. “You mentioned your relationship with your father. Let’s discuss that further.”
    Explanation
    The statement "You mentioned your relationship with your father. Let's discuss that further" is a good example of the therapeutic communication technique of focusing because it directs the conversation towards a specific topic that the patient has brought up. By acknowledging and exploring the patient's mention of their relationship with their father, the nurse is demonstrating active listening and showing a willingness to delve deeper into a potentially important issue for the patient. This technique helps to establish trust and encourage the patient to open up further about their concerns or experiences.

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  • Current Version
  • Oct 16, 2023
    Quiz Edited by
    ProProfs Editorial Team
  • Oct 29, 2017
    Quiz Created by
    Santepro
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