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Therapeutic Communications for Health Care 3e tamparo
Chapter 1: Therapeutic Communication Skills
MODIFIED TRUE/FALSE
ANS: F, 12 to 15 feet
PTS: 1
ANS: T PTS: 1
ANS: F, puzzlement
PTS: 1
ANS: F, being aware of what is not being said as much as what is being said
PTS: 1
ANS: F, are distracted
PTS: 1
ANS: T PTS: 1
MULTIPLE CHOICE
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
a. | moral and spiritual values | c. | internal and external milieu |
b. | cultural customs and traditions | d. | a and b |
ANS: D PTS: 1
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
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
a. | built on trust |
b. | rarely influenced by culture |
c. | always more effective face-to-face |
d. | better when written |
ANS: A PTS: 1
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
a. | gesturing | c. | listening |
b. | seeing or observing | d. | touching |
ANS: C PTS: 1
a. | kinesics | c. | personal space |
b. | nonverbal communication | d. | gestures or mannerisms |
ANS: A PTS: 1
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 |
SHORT ANSWER
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
ANS:
our national leaders, parents, teachers, spiritual leaders, and public figures.
PTS: 1
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
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
ANS:
It means you genuinely enjoy serving the needs of others.
You are not a slave; rather, you serve others.
PTS: 1
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
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
ANS:
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
ANS: T PTS: 1
ANS: F, no tests
PTS: 1
ANS: F, Women, men
PTS: 1
ANS: T PTS: 1
ANS: T PTS: 1
ANS: T PTS: 1
ANS: T PTS: 1
ANS: F, with
PTS: 1
MULTIPLE CHOICE
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
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
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
a. | endogenous | d. | a and b only |
b. | postpartum | e. | a, b, and c |
c. | suicidal |
ANS: D PTS: 1
a. | dysthymic disorder | c. | seasonal affective disorder |
b. | involutional depression | d. | postpartum depression |
ANS: A PTS: 1
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
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
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 |
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 |
SHORT ANSWER
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
ANS:
PTS: 1
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
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
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
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
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
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
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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