Review Practice Exercise 1

The Nurse's Role in Maternity and Women's Health Care > Maternal Newborn

Exam Review

Practice Exercise 1

Share This Link

Share on social media

Facebook

Messager

WhatsApp

Share URL
Copy

We are excited to announce the release of a NEW VERSION OF THE SYSTEM! To benefit from the latest features, improvements, and component updates, please switch to the new system as soon as possible.

Visit Latest Version

Total Questions : 5

Showing 5 questions, Sign in for more

Question 1:

Which of the following best describes therapeutic communication in nursing practice?

A. Talking casually to establish social bonds with the patient B. Purposeful, goal-directed interaction to promote the patient’s well-being C. Using only written instructions to avoid misunderstandings D. Speaking slowly and loudly so the patient can hear clearly

Answer and Explanation

Choice A:

Casual conversation to establish social bonds is considered social communication, not therapeutic. While rapport is important, therapeutic communication must be intentional and focused on health-related goals. Casual talk lacks structure and does not address clinical objectives.

Choice B:

Therapeutic communication is defined as purposeful and goal-oriented interaction aimed at improving the patient’s health and emotional well-being. The phrase “promote the patient’s well-being” directly reflects the scientific definition of therapeutic communication, which includes empathy, active listening, and patient-centered dialogue.Rationale for incorrect answers

Choice C:

Written instructions alone do not constitute therapeutic communication. This approach lacks the interactive, empathetic, and adaptive elements required. Therapeutic communication involves verbal and non-verbal cues, clarification, and feedback, which written instructions cannot provide.

Choice D:

Speaking slowly and loudly may help patients with hearing impairment but does not define therapeutic communication. Volume and pace are only components of effective delivery. Therapeutic communication requires empathy, active listening, and goal-oriented dialogue, not just auditory adjustments.

Discussion Section

Posting as Anonymous or Login Here

0 Pulse Checks

No comments

Question 2:

Which are considered therapeutic communication techniques? Select all that apply

A. Paraphrasing B. Giving advice C. Summarizing D. Reflecting E. Providing false reassurance

Answer and Explanation

Choice A:

Paraphrasing involves restating the patient’s message in the nurse’s own words to confirm understanding. It validates the patient’s feelings and ensures clarity, which are core goals of therapeutic communication.

Choice B:

Giving advice is non-therapeutic because it shifts decision-making away from the patient and may imply judgment. Therapeutic communication promotes autonomy and supports patients in making their own informed choices.

Choice C:

Summarizing helps organize and review key points of the conversation. It reinforces understanding and allows the patient to correct or expand on information, promoting mutual clarity and trust.

Choice D:

Reflecting involves directing the patient’s thoughts or feelings back to them, encouraging deeper exploration. It supports emotional processing and self-awareness, which are essential therapeutic goals.Rationale for incorrect answers

Choice E:

Providing false reassurance undermines trust and invalidates patient concerns. Statements like “everything will be fine” dismiss real fears and prevent open dialogue. Therapeutic communication requires honesty and empathy.

Discussion Section

Posting as Anonymous or Login Here

0 Pulse Checks

No comments

Question 3:

A postpartum woman says, “I’m fine caring for the baby,” but avoids eye contact and does not interact with the newborn. What is the nurse’s best initial action?

A. Document that the patient feels confident B. Ignore the nonverbal cues since the verbal statement is positive C. Gently explore the discrepancy between verbal and nonverbal cues D. Immediately request a psychiatric evaluation

Answer and Explanation

Choice A:

Documenting the verbal statement alone ignores critical nonverbal indicators. Accurate assessment must integrate both verbal and behavioral observations. Sole reliance on verbal input may lead to missed diagnosis of postpartum depression.

Choice B:

Ignoring nonverbal cues contradicts holistic nursing assessment. Nonverbal behavior often reveals true emotional state. Avoidance of eye contact and lack of newborn interaction are significant and must be addressed.

Choice C:

Exploring the discrepancy between verbal and nonverbal cues is the best initial action. The patient’s words suggest confidence, but her behavior indicates possible emotional distress. Therapeutic communication requires addressing incongruence to understand underlying concerns and support maternal mental health.Rationale for incorrect answers

Choice D:

Requesting a psychiatric evaluation immediately is premature. Initial nursing action should involve therapeutic exploration. Escalation is appropriate only after further assessment confirms psychological impairment.

Discussion Section

Posting as Anonymous or Login Here

0 Pulse Checks

No comments

Question 4:

Which of the following is an example of clarifying as a therapeutic communication technique?

A. “I was in labor for 12 hours with my first child.” B. “Could you explain more about what you mean by that?” C. “You’ll be fine, don’t worry.” D. “That’s exactly what I would do in your place.”

Answer and Explanation

Choice A:

“I was in labor for 12 hours with my first child” is a self-disclosure, not a clarifying technique. It shifts focus to the nurse’s experience and may distract from the patient’s concerns.

Choice B:

“Could you explain more about what you mean by that?” is a direct clarifying statement. It invites the patient to elaborate, ensuring the nurse accurately understands the message. This promotes therapeutic dialogue and prevents assumptions.Rationale for incorrect answers

Choice C:

“You’ll be fine, don’t worry” is false reassurance. It dismisses the patient’s feelings and avoids clarification. Therapeutic communication requires validation and inquiry, not minimization.

Choice D:

“That’s exactly what I would do in your place” is giving approval or advice. It imposes the nurse’s perspective and does not seek clarification of the patient’s thoughts or feelings.

Discussion Section

Posting as Anonymous or Login Here

0 Pulse Checks

No comments

Question 5:

Which actions may block communication between a nurse and patient? Select all that apply:

A. Crossing arms over the chest during conversation B. Providing false reassurance C. Asking open-ended questions D. Interrupting the patient mid-sentence E. Standing near the door and checking the time

Answer and Explanation

Choice A:

Crossing arms over the chest is a closed posture that signals defensiveness or disinterest. It creates a physical and emotional barrier, discouraging patient openness.

Choice B:

Providing false reassurance minimizes patient concerns and invalidates their emotions. It blocks honest dialogue and undermines trust.

Choice C:

Asking open-ended questions facilitates communication. It encourages patients to elaborate and express themselves freely, enhancing therapeutic interaction rather than blocking it.

Choice D:

Interrupting the patient mid-sentence disrupts their thought process and signals that their input is not valued. It prevents full expression and impairs therapeutic engagement.

Choice E:

Standing near the door and checking the time conveys impatience and lack of presence. It signals that the nurse is disengaged or rushed, which blocks meaningful communication.Rationale for incorrect answers

Discussion Section

Posting as Anonymous or Login Here

0 Pulse Checks

No comments

Sign Up or Login to view all the 5 Questions on this Exam

Join over 100,000+ nursing students using Naxlex’s science-backend flashcards, practice tests and expert solutions to improve their grades and reach their goals.

Exam Review

Practice Exercise 1 Share this Share This Link Share on social media Facebook Messager WhatsApp Share URL Copy Close

Total Questions : 5

Sign Up or Login to view all the 5 Questions on this Exam

Practice Exercise 1

Share This Link

Share on social media

Facebook

Messager

WhatsApp

Share URL
Copy