Which statements are true of concrete and abstract messages?
- A. Abstract messages include figures of speech that are difficult to interpret.
- B. Abstract messages are important for accurate information exchange.
- C. Concrete messages require the listener to interpret what the speaker says.
- D. Concrete messages are clear, direct, and easy to understand.
- E. Abstract messages are best used for persons who are anxious.
Correct Answer: A,D
Rationale: Abstract messages use figures of speech that are hard to interpret, while concrete messages are clear and direct, ideal for accurate communication, especially with anxious clients.
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The nurse is sitting down with a patient to begin a conversation. Which of the following positions should the nurse take to convey acceptance of the patient?
- A. Leaning forward with arms on the table sitting directly across for the patient
- B. Turned slightly to the side of the patients with arms folded across the chest
- C. Leaning back in the chair next to the patient with legs crossed at the knees
- D. Sitting upright facing the patient with both feet on the floor
Correct Answer: D
Rationale: An open, upright posture facing the client with feet on the floor conveys acceptance, unlike closed or casual postures that may signal defensiveness or disengagement.
A nurse has invited a patient to sit down and have a conversation. The patient takes the first seat. The nurse pulls up another chair to sit with the patient. Approximately how far from the patient should the nurse place her chair?
- A. 1 to 2 feet
- B. 3 to 4 feet
- C. 6 to 8 feet
- D. 8 to 10 feet
Correct Answer: B
Rationale: A distance of 3 to 6 feet is optimal for therapeutic communication, balancing comfort and professionalism, unlike closer intimate or farther social distances.
A patient asks the nurse what she should do about her 'cheating' husband. The nurse replies, 'You should divorce him. You deserve better than that.' The nurse used which communication technique?
- A. Giving information
- B. Verbalizing the implied
- C. Giving advice
- D. Agreeing
Correct Answer: C
Rationale: Giving advice, as in suggesting divorce, is nontherapeutic as it assumes the nurse knows best, limiting the client's autonomy in decision-making.
During the mental status assessment, the client expresses the belief that the CIA is stalking him and plans to kidnap him. The best response by the nurse would be,
- A. That makes no sense at all.
- B. You can tell me about that after I finish asking these questions.
- C. What kinds of things have been happening?
- D. Why would the CIA be interested in you?
Correct Answer: C
Rationale: Seeking information encourages the client to elaborate on their belief, allowing the nurse to assess further without dismissing or reinforcing the delusion.
The nurse asks the client what that experience was like. Which communication skill is the nurse using?
- A. Encouraging expression
- B. Encouraging description of perceptions
- C. Exploring
- D. Requesting an explanation
Correct Answer: A
Rationale: Encouraging expression involves asking the client to describe the quality of their experience, as seen in the nurse's question about what the experience was like.
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