Test Bank For Interpersonal Relationships 6th Edition Elizabeth C Arnold Isbn 10 1437709443 Isbn 13 9781437709445

Test Bank for Interpersonal Relationships, 6th Edition, Elizabeth C.
Arnold, ISBN-10: 143770
Test Bank for Interpersonal Relationships, 6th

Edition, Elizabeth C. Arnold, ISBN-10: 1437709443,
ISBN-13: 9781437709445
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Arnold: Interpersonal Relationships, 6th Edition
Test Bank
Chapter 6: Bridges and Barriers in the Therapeutic Relationship

MULTIPLE CHOICE
1. Which of the following describes caring?

a. It is difficult to demonstrate professionally
b. It is an ethical responsibility.
c. It is an intuitive process.
d. It is not influenced by past experience
ANS: 2
Caring is a part of nursing ethics. Incorrect answers: 1. Caring is demonstrated professionally in
the therapeutic relationship. 3. It is an intentional action that is learned. 4. A person who has
received caring is more likely to be able to offer it to others.
DIF: Cognitive Level: Comprehension REF: Text Page Reference: p. 118

TOP: Step of the Nursing Process: All phases
MSC: Client Needs: Psychosocial Integrity
2. Which of the following should be achieved first in establishing the nurse-client relationship?
a. Trust
b. Empathy
c. Mutuality
d. Empowerment
ANS: 1
Trust must be established before a therapeutic relationship can develop. Incorrect answers: 2.
Empathy is used by the nurse after trust is established. 3. Mutuality is important in establishing
client goals. 4. Empowerment occurs when the client actively participates in his or her care plan.

3. Acknowledgment of the message and obvious feelings occur during which level of empathy?
a. Level 1
b. Level 2
c. Level 3
d. Level 4
ANS: 4
Acknowledgment of the message and obvious feelings demonstrates the nurse’s willingness to
care about a client’s concerns. Incorrect answers: 1. During level 1, the nurse is unaware of the
client’s message or feelings. 2. During level 2, the nurse shows awareness of superficial feelings.
3. During level 3, the nurse recognizes only some of the client’s feelings.
DIF: Cognitive Level: Knowledge REF: Text Page Reference: p. 121

4. Which of the following describes mutual goals?

a. Mutuality is based on client goals
b. Mutuality is based on interdisciplinary health team goals
c. Mutuality is based on the nurse’s goals.
d. Mutuality is based on the physician’s goals
ANS: 1
Mutuality means that both client and nurse are committed to enhancing the client’s well-being,
based on client goals—not on the goals of the health team, the nurse, or the physician (as in
answers 2, 3, and 4).

TOP: Step of the Nursing Process: Planning
MSC: Client Needs: Management of Care
5. Which of the following is a violation of client confidentiality?

a. Sharing of information about communicable disease
b. Reporting client’s problem during change of shift
c. Photographing a client’s wound to monitor the healing process
d. Recording on client’s health record another client’s behavior
ANS: 4
Having a co-client named in another client’s chart is a violation of confidentiality. Incorrect
answers: 1. It is legal to share information about public health issues such as communicable
disease. 2. Information can be shared with the health care team. 3. This is not a breech of
confidentiality; the pictures stay with the client’s record and are used for the benefit of the client.
DIF: Cognitive Level: Analysis REF: Text Page Reference: p. 125

6. Bias begins with which of the following?

a. Stereotyping during early education
b. Family and early childhood experiences
c. Limited contact with other cultures
d. Uncomfortable experiences with culturally diverse clients
ANS: 2
Biases are learned during childhood and reinforced by life experiences. Incorrect answers: 1.
Early education may reinforce an already established bias. 3,4. Biases are learned during
childhood and reinforced by life experiences.

7. Which of the following describes proxemics?

a. Study of relationship between message and topic at hand
b. Study of implied meanings within individuals
c. Study of humans’ use of space
d. Study of the emotional personal space boundary
ANS: 3
Proxemics is the study of an individual’s use of space. Incorrect answers: 1,2. These options do
not involve the use of space. 4. This is an invisible boundary around an individual.

8. Which of the following is a barrier to communication?

a. Past experiences
b. Unconditional acceptance
c. Self-awareness
d. Gender differences
ANS: 1
The ability to become a caring professional is influenced by past experience. Incorrect answers:
2. This is an essential element in the helping relationship. 3. Self-awareness enhances
communication. 4. No evidence exists showing that gender differences obstruct the therapeutic
relationship.

9. Which of the following is true about trust?
a. The sender feels it.
b. It is difficult to demonstrate professionally.
c. It is an intuitive process
d. The receiver feels it
ANS: 4
With development of interpersonal trust, the client feels safe. Incorrect answers: 1. The sender
promotes a trusting relationship. 2. Trust is demonstrated professionally in the nurse-client
relationship. 3. The development of trust is based on past experiences, not intuition.

10. Which of the following is an appropriate “I” statement?

a. “Mr. Jones, I think you should go to bed now.”
b. “Mr. Jones, I would like you to go to bed now.”
c. “Mr. Jones, I don’t think you should sit in the chair.”
d. “Mr. Jones, I thought we agreed that you would return to bed at this time.”
ANS: 4
This demonstrates mutuality in which the nurse and client have collaborated to set a goal.
Incorrect answers: 1,2,3. These statements represent the nurse’s goals for the client and do not
demonstrate mutuality.
DIF: Cognitive Level: Application REF: Text Page Reference: p. 124

TOP: Step of the Nursing Process: Interventions
11. Upon entering the room, you notice that your client is standing in the middle of the room
wringing her hands and has put her street clothes on over her pajamas. On further
examination, it is noted that the client is pale and hyperventilating with elevated vital signs.
Which level of anxiety is the client experiencing?
a. Mild
b. Moderate
c. Severe
d. Panic
ANS: 3
Signs of severe anxiety include elevated vital signs, impaired problem-solving, and confused
mental state. Incorrect answers: 1 Signs of mild anxiety are enhanced problem-solving and
increased alertness. 2. Signs of moderate anxiety do not include high blood pressure. 4. During
panic, the client is immobilized with no cognitive or coping abilities.
DIF: Cognitive Level: Analysis REF: Text Page Reference: p. 127
TOP: Step of the Nursing Process: Assessment
MSC: Client Needs: Physiological Adaptation
12. Which of the following situations is an example of the nurse using empathy?
a. Setting up a rehab placement for a client addicted to heroin
b. Sitting quietly and holding a client’s hand while she cries following the news that
she has inoperable cancer
c. Giving a bed bath to a client that suffers from an R-sided CVA (cerebral vascular
accident)
d. Telling a client all about the fun you had last night at one of the local clubs
ANS: 2
The nurse is offering the client time and attention, as well as validation and touch. Incorrect
answers: 1. This is an example of failure to allow the client to assume personal responsibility. 3.
The client should be encouraged to be involved in his or her own care. 4. This is an example of
nontherapeutic self-disclosure by the nurse.

TOP: Step of the Nursing Process: Implementation
13. John Adams, RN, knocks on the client’s door and waits for her to answer before entering
the room. He is demonstrating:
a. Nonverbal communication skills
b. Respect for the client’s personal space
c. Respect for the client’s confidentiality
d. Respect for the client’s gender difference
ANS: 2
Giving warning before entering a client’s room demonstrates respect for personal space.
Incorrect answers: 1. Knocking is not a demonstration of nonverbal communication. 3. This
does not relate to respect for a client’s confidentiality. 4. Respect for a client’s personal space
should be demonstrated regardless of gender.

14. Which of the following is true regarding personal space?

a. Individuals living in a western culture need 40 square feet of personal space
b. Increase direct eye contact to increase the client’s sense of personal space
c. People need less space when they are anxious
d. The elderly need more control over their space
ANS: 4
The elderly need control over personal space as they can become profoundly disoriented in
unfamiliar environments. Incorrect answers: 1. Individuals living in a western culture need
86-108 square feet of personal space. 2. Decrease direct eye contact to increase a client’s sense
of personal space. 3. People need more space when they are anxious.

15. Which of the following demonstrates the use of the caring process?
a. Acknowledging the client’s point of view
b. Problem-solving for the client
c. Performing tasks for the client
d. Communicating expectations of the health care team
ANS: 1
Caring involves mutuality (caring about the client’s perspective). Incorrect answers: 2. Caring is
demonstrated by problem-solving with the client, not for the client. 3. Encouraging self-care
empowers the client. 4. The nurse needs to respond to the client’s expectations for health care.

16. Cultural sensitivity involves:

a. Memorizing beliefs held by different cultures
b. Generalizing beliefs based on ethnic membership
c. Developing a nonjudgmental, neutral attitude
d. Recognizing that individuals of the same religion share the same characteristics
ANS: 3
Developing a nonjudgmental attitude helps reduce clinical bias. Incorrect answers: 1. The nurse
does not have to memorize a list of beliefs to become culturally sensitive. 2. Stereotypes are
generalized beliefs based on ethnic membership. 4. All individuals of a particular social group,
race, or religion do not share the same characteristics.

Test Bank for Interpersonal Relationships, 6th Edition, Elizabeth C. Arnold, ISBN-10: 143770
MULTIPLE RESPONSE
1. Which of the following nursing responses belong in the category Level 1? Select all that
apply.
a. Confronts conflict
b. Uses client’s correct name
c. Maintains eye contact
d. Adopts open posture
e. Responds to cues
ANS: 2, 3, 4, 5
These responses are demonstrated at the accepting category of Empathy (Level 1).
Incorrect answers: 1.This is an example of a nursing response at the analyzing category of
Empathy.

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Test Bank for Interpersonal Relationships, 6th Edition, Elizabeth C.

Arnold, ISBN-10: 143770

Test Bank for Interpersonal Relationships, 6th

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Chapter 6: Bridges and Barriers in the Therapeutic Relationship

1. Which of the following describes caring?

DIF: Cognitive Level: Comprehension REF: Text Page Reference: p. 118

DIF: Cognitive Level: Comprehension REF: Text Page Reference: p. 120

DIF: Cognitive Level: Knowledge REF: Text Page Reference: p. 121

4. Which of the following describes mutual goals?

DIF: Cognitive Level: Comprehension REF: Text Page Reference: p. 124

5. Which of the following is a violation of client confidentiality?

DIF: Cognitive Level: Analysis REF: Text Page Reference: p. 125

6. Bias begins with which of the following?

DIF: Cognitive Level: Knowledge REF: Text Page Reference: p. 128

7. Which of the following describes proxemics?

DIF: Cognitive Level: Knowledge REF: Text Page Reference: p. 129

8. Which of the following is a barrier to communication?

DIF: Cognitive Level: Comprehension REF: Text Page Reference: p. 132

DIF: Cognitive Level: Comprehension REF: Text Page Reference: p. 120

10. Which of the following is an appropriate “I” statement?

DIF: Cognitive Level: Application REF: Text Page Reference: p. 124

DIF: Cognitive Level: Application REF: Text Page Reference: p. 121

DIF: Cognitive Level: Application REF: Text Page Reference: p. 129

14. Which of the following is true regarding personal space?

DIF: Cognitive Level: Knowledge REF: Text Page Reference: p. 129

DIF: Cognitive Level: Application REF: Text Page Reference: p. 119

16. Cultural sensitivity involves:

DIF: Cognitive Level: Knowledge REF: Text Page Reference: p. 134

DIF: Cognitive Level: Knowledge REF: Text Page Reference: p. 121

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