Chapter 10: Therapeutic Communication Morrison-Valfre: Foundations of Mental Health Care, 7th Edition MULTIPLE CHOICE 1. A male client with a diagnosis of schizophrenia begins to have hallucinations during a conversation with the nurse; this prevents him from receiving the message that the nurse is trying to communicate to him. According to Ruesch’s theory of communication, this unsuccessful interaction is called: a. disturbed communication. b. nontherapeutic communication. c. blocked communication. d. therapeutic communication. ANS: A Ruesch called this type of interrupted communication is disturbed communication. In addition to interference with receiving a message, as in the case of this client, the term applies to interference with the sending of messages, problems in language between people, insufficient information, and lack of the opportunity for feedback. Ruesch’s theory did not coin the term nontherapeutic or blocked communication, and this interaction would not be considered therapeutic. DIF: Cognitive Level: Comprehension REF: p. 105 OBJ: 1 TOP: Ruesch’s Theory KEY: Nursing Process Step: Evaluation MSC: Client Needs: Psychosocial Integrity 2. The theorist Eric Berne theorized that an individual’s three ego states of parent, child, and adult make up one’s: a. conscience. b. personality. c. thought processes. d. ability to communicate. ANS: B The three ego states, according to Berne, make up an individual’s personality. The parent ego focuses on rules and values, the child ego focuses on emotions and desires, and the focal point of the adult ego is previous observations. He did not address any of the other three options. DIF: Cognitive Level: Knowledge REF: p. 105 OBJ: 1 TOP: Transactional Analysis KEY: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Integrity 3. The nursing student is assigned a client to interview and is asked to practice the therapeutic communication technique of sharing perceptions. Which statement made by the student nurse best describes this technique? a. “I noticed that you pace the halls, and you have a tense look on your face. I sense that you are anxious about something.” b. “Can you tell me more about how you feel when you are arguing with your
NURSING TEST BANK
