Test Bank for Therapeutic Communications For Health Care 3rd Ed By Tamparo

Test Bank for Therapeutic Communications For Health Care 3rd Ed By Tamparo

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WITH ANSWERS

 

Therapeutic Communications for Health Care 3e tamparo

 

Chapter 1: Therapeutic Communication Skills

 

MODIFIED TRUE/FALSE

 

1. In Western culture, 4 to 12 feet is considered public space whereas personal space is 1 1/2 to 4 feet. _________________________

 

ANS:  F, 12 to 15 feet

 

PTS:   1

 

2. Finger tapping commonly means indifference. _________________________

 

ANS:  T                                                     PTS:   1

 

3. Rubbing the nose usually means lying. _________________________

 

ANS:  F, puzzlement

 

PTS:   1

 

4. Listening with a third ear means listening with your ears and your eyes. ______________________________________________________________________

 

ANS:  F, being aware of what is not being said as much as what is being said

 

PTS:   1

 

5. One of the greatest barriers to listening occurs when receivers misinterpret the message. _________________________

 

ANS:  F, are distracted

 

PTS:   1

 

6. Self-assessment helps us determine who we are as seen by ourselves and by others. _________________________

 

ANS:  T                                                     PTS:   1

 

MULTIPLE CHOICE

 

1. Human relations professional skills are

a.	sometimes referred to as intrapersonal, professional skills
b.	verbal and technical skills only
c.	translated into social and therapeutic communications
d.	used in both professional and personal relationships

 

 

ANS:  D                    PTS:   1

 

2. Therapeutic professional communication is influenced by

a.	moral and spiritual values	c.	internal and external milieu
b.	cultural customs and traditions	d.	a and b

 

 

ANS:  D                    PTS:   1

 

3. In order to have positive self-acceptance, we must have

a.	a balanced public and ideal self
b.	congruency among our three selves
c.	a smaller hidden self
d.	a stronger public self

 

 

ANS:  B                    PTS:   1

 

4. Personal space refers to

a.	our warmth, liking,and interest in others
b.	the distance we are comfortable with others
c.	a barometer of our feelings
d.	b and c

 

 

ANS:  B                    PTS:   1

 

5. Effective team communication is

a.	built on trust
b.	rarely influenced by culture
c.	always more effective face-to-face
d.	better when written

 

 

ANS:  A                    PTS:   1

 

6. The goals of effective listening include

a.	determining how accurately the message was received
b.	Paraphrasing everything the client says to ensure accuracy
c.	listening to what is not being said
d.	a and c

 

 

ANS:  D                    PTS:   1

 

7. The primary sensory skill involved in verbal communication is

a.	gesturing	c.	listening
b.	seeing or observing	d.	touching

 

 

ANS:  C                    PTS:   1

 

8. The systematic study of the body and the use of its static and dynamic position is

a.	kinesics	c.	personal space
b.	nonverbal communication	d.	gestures or mannerisms

 

 

ANS:  A                    PTS:   1

 

9. What percentage accounts for the actual message in communication?

a.	70%	c.	23%
b.	50%	d.	7%

 

 

ANS:  D                    PTS:   1

 

MATCHING

 

Match each item with the correct statement below.

a.	Sender	e.	Channels
b.	Messages	f.	Clustering
c.	Feedback	g.	Congruency
d.	Receiver	h.	Cohesiveness

 

 

1. Decodes

 

2. Encodes

 

3. Verify perceptions

 

4. Communication modes

 

5. Communication content

 

6. Logical and in order

 

7. Group of gestures, facial expressions, postures

 

8. Consistent with one another

 

1. ANS:  D                    PTS:   1

 

2. ANS:  A                    PTS:   1

 

3. ANS:  C                    PTS:   1

 

4. ANS:  E                    PTS:   1

 

5. ANS:  B                    PTS:   1

 

6. ANS:  H                    PTS:   1

 

7. ANS:  F                    PTS:   1

 

8. ANS:  G                    PTS:   1

 

SHORT ANSWER

 

1. In social and therapeutic professional communications, genetic influences refer to

 

ANS:

inherited traits such as height, body structure, and skin color; they are defined and established by the genes passed on during fertilization.

 

PTS:   1

 

2. Models and mentors are found in

 

ANS:

our national leaders, parents, teachers, spiritual leaders, and public figures.

 

PTS:   1

 

3. Name and define the three selves within us.

 

ANS:

Ideal self is the person we think we should be. It represents the person we would like to be some day.

 

The public self is how we want others to see us. We may have several public selves depending on our circle of acquaintances and friends.

 

Our real self is the inner, natural self who is authentic and spontaneous.

 

PTS:   1

 

4. What does the following question imply as a health professional?

Do you genuinely enjoy helping people in a therapeutic manner?

 

ANS:

It implies that you have the technical skills and knowledge to help people solve their problems and that you do so without the need to create power for yourself.

 

PTS:   1

 

5. How does the term servant apply to you as a health professional?

 

ANS:

It means you genuinely enjoy serving the needs of others.

 

You are not a slave; rather, you serve others.

 

PTS:   1

 

6. Explain the role of codependency in health professionals.

 

ANS:

Health professionals should not assume the role of codependency with their clients.

 

Professionals cannot save their clients, nor can they be their caretakers.

 

PTS:   1

 

7. Explain the importance of facial expressions as a form of nonverbal communication.

 

ANS:

Facial expressions are perhaps the most important nonverbal communicator.

 

Movements of the eyes, eyebrows, and forehead send many different messages to others.

 

For example, looking someone in the eyes in some cultures indicates a keen interest, whereas in other cultures it may be seen as rude.

 

PTS:   1

 

8. Identify the different types of technological communication that might be used in the medical setting. Explain one type of technology and its use.

 

ANS:

E-mail

Facsimile (fax) messaging

Video and teleconferences

Conference calls among three or more individuals

Personal digital assistants

Laptop computers linked to network, Internet access, satellite facilities

 

PTS:   1

 

Chapter 7: The Therapeutic Response to Depressed and/or Suicidal Clients

 

MODIFIED TRUE/FALSE

 

1. Minor depression is known as dysthymia. _________________________

 

ANS:  T                                                     PTS:   1

 

2. There are three major tests used to diagnosis depression. _________________________

 

ANS:  F, no tests

 

PTS:   1

 

3. Men are nearly twice as likely to experience depression as women. _________________________

 

ANS:  F, Women, men

 

PTS:   1

 

4. Depression is among the leading cause of disability worldwide. _________________________

 

ANS:  T                                                     PTS:   1

 

5. The elderly are more successful in suicide attempts than are younger people. _________________________

 

ANS:  T                                                     PTS:   1

 

6. Preschoolers are the fastest growing market for antidepressants. _________________________

 

ANS:  T                                                     PTS:   1

 

7. About half of the adults who are depressed believe their depression is a personal weakness and they are too embarrassed to seek help. _________________________

 

ANS:  T                                                     PTS:   1

 

8. Most suicides occur without warning. _________________________

 

ANS:  F, with

 

PTS:   1

 

MULTIPLE CHOICE

 

1. Major depression

a.	indicates persons have just enough energy to do activities of daily living
b.	is disabling
c.	often means persons thoughts are centered around/related to self-esteem
d.	often occurs for no apparent reason

 

 

ANS:  B                    PTS:   1

 

2. What do researchers believe about depression?

a.	After treatment of depression, the brain chemistry returns to normal.
b.	Treatment of depression rarely requires psychotherapy.
c.	All depression involves some changes in brain chemistry.
d.	a and c only
e.	a, b, and c

 

 

ANS:  D                    PTS:   1

 

3. According to one of the diagnostic manuals that sets the diagnosis and classes of depression, major depression must have an episode(s) that

a.	causes some impairment in a persons social or occupational functioning
b.	represents a change from previous functioning
c.	lasts at least two weeks
d.	a, b, and c

 

 

ANS:  D                    PTS:   1

 

4. Subtypes of major depression include the following type(s).

a.	endogenous	d.	a and b only
b.	postpartum	e.	a, b, and c
c.	suicidal

 

 

ANS:  D                    PTS:   1

 

5. What type of depression leads to anger with temper outbursts, excessive crying, decreased sexual desire, and chronic fatigue?

a.	dysthymic disorder	c.	seasonal affective disorder
b.	involutional depression	d.	postpartum depression

 

 

ANS:  A                    PTS:   1

 

6. Which of the following statements is true about seasonal affective disorder?

a.	SAD occurs more often in men than women.
b.	The treatment of choice is light therapy or phototherapy.
c.	SAD is rarely if ever found in children.
d.	A symptom of SAD is undereating, especially protein.

 

 

ANS:  B                    PTS:   1

 

7. Which of the following statements is true about postpartum depression (PPD)?

a.	PPD lasts about two years.
b.	PPD is usually the first time individuals experience depression.
c.	Stress seems to be one of the contributing factors of PPD.
d.	Drug therapy is the preferred method of treating PPD.

 

 

ANS:  C                    PTS:   1

 

8. Suicide statistics include

a.	It is the eighth leading cause of death in the United States.
b.	Of the percentage that attempt suicide, one third will succeed.
c.	One half of all male suicides involve firearms.
d.	Over one half of suicide victims communicate their plan to someone before they follow through with it.
e.	a, c, and d only

 

 

ANS:  E                    PTS:   1

 

MATCHING

 

Match each item with the correct statement below.

a.	Involutional depression	e.	Dysthymic disorder
b.	Endogenous depression	f.	Unipolar
c.	Clinical depression	g.	Bipolar depression
d.	Major depression	h.	Seasonal affective disorder

 

 

1. Also known as manic-depression, manic-depressive illness.

 

2. Depression is severe enough to require treatment.

 

3. Also known as melancholia.

 

4. A person has had episodes of depression only.

 

5. Depression caused by decreased sunlight.

 

6. Comes from within and has no discernable cause.

 

7. Chronic, low-level depression that may continue for years.

 

1. ANS:  G                    PTS:   1

 

2. ANS:  C                    PTS:   1

 

3. ANS:  A                    PTS:   1

 

4. ANS:  F                    PTS:   1

 

5. ANS:  H                    PTS:   1

 

6. ANS:  B                    PTS:   1

 

7. ANS:  E                    PTS:   1

 

Match each item with the correct statement below.

a.	Stage #1 of suicide	d.	Stage #4 of suicide
b.	Stage #2 of suicide	e.	Stage #5 of suicide
c.	Stage #3 of suicide

 

 

8. Individuals begin a plan to carry out the suicide

 

9. Individuals experience frustration, anger that turns inward, hostility

 

10. Individuals communicate their helplessness to someone else

 

11. Individuals stress levels become unbearable and they panic

 

8. ANS:  D                    PTS:   1

 

9. ANS:  A                    PTS:   1

 

10. ANS:  C                    PTS:   1

 

11. ANS:  B                    PTS:   1

 

SHORT ANSWER

 

1. Describe the feelings a person with depression might experience.

 

ANS:

Answers may vary and include:

 

feelings of despair, gloom, or emptiness

 

a sense of foreboding

 

numbness

 

hopelessness

 

agony

 

negative sense of self-worth

 

PTS:   1

 

2. Name the two books, internationally recognized sets of diagnostic criteria for depression, that have led to a greater uniformity in diagnosis and classification of depressive illnesses.

 

ANS:

1. Diagnostic and Statistical Manual (DSM) and

 

2. International Classification of Disease (ICD)

 

PTS:   1

 

3. List symptoms that occur in the syndrome of major depression.

 

ANS:

Answers may vary and include the following:

 

Cry for no apparent reason

 

Are quiet with very little to say

 

Experience disrupted eating and sleeping patterns that cause additional fatigue and restlessness

 

PTS:   1

 

4. What is bipolar depression?

 

ANS:

Answers may vary but should include:

 

Alternates between extreme highs of mania and severe lows of depression.

 

May include the following:

 

Each individual with BPD has a unique pattern of mood cycles that are predictable once the pattern is identified.

 

Strong genetic influence.

 

Typically begins in adolescence or early adulthood and continues through life.

 

PTS:   1

 

5. Describe substance-induced mood disorder.

 

ANS:

A mood disorder caused by:

 

Individuals taking prescription drugs that have the side affect of causing depression. Such drugs include cardiac drugs, hypertensives, sedatives, steroids, stimulants, antibiotics, and analgesics.

 

People often self-medicate their depression with alcohol and drugs or a combination of the two, which will induce depressionthe very thing they are trying to treat.

 

PTS:   1

 

6. Explain why adolescents are at great risk for depressive disorders.

 

ANS:

Because of the many physical and emotional changes they are going through.

 

Their family structure and peer pressure may add to the stress.

 

PTS:   1

 

7. Describe the therapeutic role of health professionals in working with clients who have depression.

 

ANS:

Answers may vary and include the following:

 

Provide nonthreatening and secure environment. Assist clients to manipulate their environment so they can effect positive change.

 

Reinforce clients ability to make personal decisions and problem-solve.

 

Work with clients to develop experiences that will give them positive feedback.

 

Encourage clients to seek professional help and provide community resources.

 

PTS:   1

 

8. Describe risk factors for individuals who attempt suicide.

 

ANS:

Previous attempts of suicide

 

They already have some form of depression

 

Death of a loved one, recent loss of employment, and/or divorce

 

Exposure to suicide or suicidal behavior by others

 

Ready accessibility of firearm

 

PTS:   1

 

9. Specifically relate how health professionals therapeutically communicate with suicidal clients.

 

ANS:

Pull up chair, sit close, and listen.

 

Let the persons know you really care about them and will not desert them.

 

Sometimes just sit in silence.

 

Communicate through a persons strong learning channel.

 

Avoid arguments and power struggles.

 

Let yourself feel some of the persons sufferings. Cry with them, if appropriate.

 

PTS:   1

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