Test Bank For Interpersonal Relationships Professional Communication Skills For Nurses 7th Edition By Boggs Arnold
- Chapter 6: Variation in Communication Styles
Arnold: Interpersonal Relationships, 7th Edition
MULTIPLE CHOICE
1. Which of the following is a description of metacommunication?
a.
Communication style
b.
Nonverbal communication
c.
Verbal communication
d.
Nonverbal and verbal communication
ANS: D
Metacommunication is a broad term used to describe all of the factors that influence how the message is perceived. It is a message about how to interpret what is going on. Metacommunicated messages may be hidden within verbalizations or be conveyed as nonverbal gestures and expressions. Communication style refers to the manner in which one communicates. Nonverbal style includes facial expression, gestures, body posture, etc. Verbal style includes pitch, tone, and frequency.
DIF:Cognitive Level: ComprehensionREF:p. 100
TOP:Step of the Nursing Process: All phases
MSC:Client Needs: Psychosocial Integrity
2. The nurse puts his arm around an older adult client when assisting her to transfer to a chair. The client could interpret the nurse’s touch as
a.
a positive gesture only.
b.
a threat.
c.
denotation.
d.
paralanguage.
ANS: A
Touching a client is one of the most powerful ways a nurse has to communicate nonverbally. Within a professional relationship, affective touch can convey caring and reassurance. In studies, nurses’ touching clients has been reported to be perceived both positively as an expression of caring and negatively as a threat. Denotation refers to the generalized meaning of a word. Paralanguage is the way a verbal message is expressed.
DIF:Cognitive Level: ApplicationREF:p. 103
TOP:Step of the Nursing Process: Implementation
MSC:Client Needs: Psychosocial Integrity
3. A description of denotation is
a.
a personalized meaning of a word or phrase.
b.
a generalized meaning assigned to a word.
c.
a meaning shared by families.
d.
a meaning generally shared within a specific culture.
ANS: B
Denotation refers to the generalized meaning assigned to a word. Connotation refers to a personalized meaning of a word. Jargon or slang is referred to a meaning generally shared within a specific culture.
DIF:Cognitive Level: KnowledgeREF:p. 101
TOP:Step of the Nursing Process: All phases
MSC:Client Needs: Psychosocial Integrity
4. When communicating about a client with a health care provider from another culture, the nurse states, “The client stopped taking his medications last week when he fell off the wagon.” The health care provider looks at the nurse blankly. This is an example of
a.
connotation.
b.
information processing.
c.
time span between messages.
d.
nonverbal cultural variations.
ANS: A
Connotation refers to the use of words in a personalized way that is culturally specific. Processing is not the problem; the health care provider requires an explanation of the meaning. The health care provider does not need more time to translate the message. This is an example of connotation, not nonverbal communication.
DIF:Cognitive Level: ApplicationREF:p. 101
TOP:Step of the Nursing Process: All phases
MSC:Client Needs: Psychosocial Integrity
5. The nurse is assigned to care for a client who has been diagnosed with multiple sclerosis. Which communication behavior will have the most impact on the client?
a.
What is said
b.
Tone of voice
c.
Sense of confidence
d.
Verbal message
ANS: B
The oral delivery of a verbal message, expressed through tone of voice, inflection, sighing, and so on, is referred to as paralanguage. It is important to understand this component of communication because it affects how the verbal message is likely to be interpreted. When the tone of voice does not fit the words, the message is less easily understood and is less likely to be believed. Pitch and tone can either support or contradict the content of the verbal message. Sense of confidence will be reflected in tone of voice. Verbal message is affected by voice inflection.
DIF:Cognitive Level: ApplicationREF:p. 101
TOP:Step of the Nursing Process: All phases
MSC:Client Needs: Psychosocial Integrity
6. Communication is a combination of
a.
verbal and nonverbal behaviors.
b.
pitch, tone, and paralanguage.
c.
proxemics, touch, and kinesics.
d.
eye contact, facial expressions, and nonverbal messages.
ANS: A
Communication is a combination of verbal and nonverbal behaviors integrated for the purpose of sharing information. Pitch, tone, and paralanguage are all components of vocalization. Proxemics, touch, and kinesics are all nonverbal components. Eye contact and facial expressions are nonverbal communication.
DIF:Cognitive Level: KnowledgeREF:p. 100
TOP:Step of the Nursing Process: All phases
MSC:Client Needs: Psychosocial Integrity
7. The majority of person-to-person communication is
a.
verbal.
b.
process.
c.
nonverbal.
d.
content.
ANS: C
The majority of person-to-person communication is nonverbal. Actions speak louder than words. Process refers to interpersonal sensitivity. Content refers to giving information.
DIF:Cognitive Level: KnowledgeREF:p. 102
TOP:Step of the Nursing Process: All phases
MSC:Client Needs: Psychosocial Integrity
8. When the nurse asks a client, “How are you?” the client states, “I am fine.” As the client turns away, she is crying. This is an example of
a.
nonverbal communication.
b.
incongruence.
c.
proxemics.
d.
congruence.
ANS: B
When nonverbal and verbal cues do not match, it is known as incongruence. This situation includes both verbal and nonverbal content. Proxemics refers to personal space. Congruence occurs when verbal and nonverbal messages match.
DIF:Cognitive Level: ApplicationREF:p. 107
TOP:Step of the Nursing Process: All phases
MSC:Client Needs: Psychosocial Integrity
9. An adult client responds to questions inappropriately. The nurse should do which of the following?
a.
Assume that the client is depressed and seek further information.
b.
Ask other staff members whether the client is sick.
c.
Leave the client alone for now and return to reassess.
d.
Observe the client’s nonverbal behavior.
ANS: D
When nonverbal cues are incongruent with the verbal information, messages are likely to be misinterpreted. When the verbal message is inconsistent with the nonverbal expression of the message, the nonverbal expressions assume prominence and are generally perceived as more trustworthy than the verbal content.
DIF:Cognitive Level: ApplicationREF:p. 102
TOP:Step of the Nursing Process: Assessment
MSC:Client Needs: Psychosocial Integrity
10. The nurse is assessing a newly admitted Native American client. When assessing the client’s perception of touch, the nurse should
a.
casually touch the client.
b.
use timing with touch.
c.
ask the client for permission to touch.
d.
shake the client’s hand.
ANS: C
Care must be taken to abide by the client’s cultural proscriptions about the use of touch. This varies across cultures. Some Native Americans use touch in healing, so that casual touching may be taboo. The nurse should ask for permission before the use of touch.
DIF:Cognitive Level: ApplicationREF:p. 103
TOP:Step of the Nursing Process: Assessment
MSC:Client Needs: Psychosocial Integrity
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