Therapeutic Communications For

Health Care 3rd Edition By Tamparo

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Sample Test
Chapter 3: The Helping Interview

MODIFIED TRUE/FALSE

1. Control is a critical factor in the helping interview. Even using patient or

client  implies superior/inferior, higher/lower, more-knowledge/less-knowledge.
_________________________

ANS:  F, patient (not client)

PTS:   1
  

2. Your personal appearance and the appearance of the medical office  are

vital keys in the helping interview. _________________________

ANS:  T                                                     PTS:   1

3. When meeting clients for the first time, it is best to address

them informally by their first names to lessen their anxiety.
________________________________________

ANS:  F, formally by their last name

PTS:   1

4. In the helping interview, during resolution, allow time for the client to

think about what has just been said and to formulate any questions.
_________________________

ANS:  T                                                     PTS:   1

5. During the orientation phase of the helping interview, it is best for the
client to be standing  when the health professional is seated.
_________________________

ANS:  F, seated

PTS:   1

 
6. It is advisable to make “small talk” when leading the client from the
reception area to the exam room. _________________________

ANS:  T                                                     PTS:   1

7. In the helping interview,  genuineness means that there will be

congruency between the verbal and nonverbal messages.
_________________________

ANS:  T                                                     PTS:   1

8. “Tell me about a typical day with your baby” is an example of an indirect

statement. _________________________

ANS:  T                                                     PTS:   1

MULTIPLE CHOICE

1. In the helping interview, the person needing help (vs. the person giving
help) feels

a. powerful d. gratified

b. frightened or embarrassed e. b and c

c. sad or angry  

 
 ANS:  E                    PTS:   1

2. The orientation component of the helping interview involves

a. very little preparation on the part of the health professional

b. only the client and health professional

c. empathy, not sympathy

d. more risk for the client than the health professional

e. none of the above

ANS:  D                    PTS:   1

3. The clients says, “I cannot control my disease!” The health professional

responds, “How is your mother doing?” This is an example of what roadblock?

a. defending c. reassuring cliche

b. shifting d. none of the above

ANS:  B                    PTS:   1

 
4. In levels of need, if the client seems panicked, it means that the

a. health care professional should talk more rapidly

b. client does not listen

c. client expects professional to help

d. health care professional must supply advice

ANS:  B                    PTS:   1

5. The following is a closed question.

a. “When you move your foot, does it hurt?”

b. “What foods cause your indigestion?”

c. “When do you experience pain?

d. “What actions bring on your productive cough?”

ANS:  A                    PTS:   1

 
6. Statement(s) that is/are a roadblock(s) to communication include(s)

a. Patting the client on the arm saying, “Everything will be OK after the doctor sees you.”

b. “You couldn’t be sweating that much!”

c. “Why did you do that to your daughter?”

d. “If I were you, I’d just forget about the death of your spouse if it’s so painful.”

e. all of the above

ANS:  E                    PTS:   1

7. The following statement is moralizing/lecturing.

a. “I’d never say that to you.”

b. “Why can’t you just follow the doctor’s orders?”

c. “You really ought to have done it this way.”

d. “I just know it’ll get better for you.”

ANS:  C                    PTS:   1

  

MATCHING

Match each item with the correct statement below.

Levels of need

a. Predicament e. Shock

b. Panic f. Problem

c. Crisis g. Orientation

d. Identification  

1. A numbed or dazed condition

2. No easy solution

3. Has a solution

4. A state of fear

5. A very large predicament; short term

 
1. ANS:  E                    PTS:   1

2. ANS:  A                    PTS:   1

3. ANS:  F                    PTS:   1

4. ANS:  B                    PTS:   1

5. ANS:  C                    PTS:   1

Match each item with the correct statement below.

Responding skills

a. Acknowledging feelings c. Reflecting and paraphrasing

b. Clarifying and validating d. Sharing observation

6. “So you think milk and cheese cause gas for you?”

7. “That must be frustrating for you.”

8. “When you say that do you mean…?”

9. “Your hands are shaking.”

  

6. ANS:  C                    PTS:   1

7. ANS:  A                    PTS:   1

8. ANS:  B                    PTS:   1

9. ANS:  D                    PTS:   1

SHORT ANSWER

1. List two changes in today’s health care climate that might affect the
helping interview.

ANS:

Any two of the three; in any order:

1. Clients visit their health care provider much more informed than ever before.

Clients may find their continuity of care interrupted by their employer’s choices of healt
2.
care plans, which can force a change in providers.

The availability and use of the Internet has increased, allowing clients more health care
3.
information, and they realize their health care choices.

 
 PTS:   1

2. Give two examples of defending, one of the roadblocks to communication.

ANS:

Answers vary; in any order. Suggested responses:

1. “I wouldn’t ever have said that to you.”

2. “We just don’t do that at this clinic.”
3. “I can’t believe we’d tell you to go there.”

PTS:   1

3. Give two examples of shaming or threatening statements and/or actions

that are roadblocks to communication.

ANS:

Answers will vary but sample responses might include, in any order:

1. The health professional laughs at a serious statement made by the client.

2. “I didn’t mean to say that to you. Don’t you dare tell the physician I said it—or else!”

The client cries when telling about her husband’s death and the health professional res
3.
“Well, you don’t have to cry about it now. It’s been 5 months!”

 
 PTS:   1

4. What are some actions that health professionals can take to look
professional and “dress the part”?

ANS:

Answers will vary but sample responses might include, in any order:

A daily bath

An effective deodorant

Clean hair, off the collar, and out of the face

Trimmed and manicured nails; clear polish only

Properly fitting uniform

Wear name tag

Limited jewelry; post earrings only

PTS:   1

5. Explain the difference between sympathy and empathy.

ANS:

Sympathy is to respond to the emotional sate of clients and to acknowledge the

feelings they express.

Empathy is the ability to accept the client’s private world as if it were your own.

 
 PTS:   1

6. How might a health professional respond when a client asks during the
resolution phase of the helping interview, “How much time will it take for the
physician to treat my diabetes?”

ANS:

Answers will vary but sample responses might include, in any order:

“Diabetes is a chronic disease that will require ongoing treatment, but with your
physician working with you, it will become easier for you to live with the
disease.”

“We will help you understand your body’s responses to your medication, your
food intake, and your exercise program.”

“There are diabetic support groups that some of our clients have found very
helpful. Would you like a list of them?”

PTS:   1

Chapter 4: The Therapeutic Response Across the Life Span

MODIFIED TRUE/FALSE

1. Elder adults experience fewer  chronic illnesses than acute illnesses.

_________________________

 
 ANS:  F, more

PTS:   1

2. Adults experience more hypertension, diabetes, arthritis, and hearing and

vision impairments than any other age level. _________________________

ANS:  F, the elderly

PTS:   1

3. Adolescents experience a loss of self-identity and feelings of belonging—

more than any other age level. _________________________

ANS:  F, the elderly

PTS:   1

4. In caring for adults, health professionals need to understand their own

feelings toward aging parents or growing older themselves.
_________________________

ANS:  F, the elderly

PTS:   1

 
5. The way individuals spend their younger years generally predicts how
they will spend their elder years. _________________________

ANS:  T                                                     PTS:   1

6. Physically, adult  clients are quite healthy. _________________________

ANS:  T                                                     PTS:   1

7. Because of the characteristic activities of elderly adult  clients, they

experience more stress-related complaints than other age groups.
_________________________

ANS:  F, adult

PTS:   1

8. Younger adults  may actually be living in an extended psychological

adolescent period. _________________________

ANS:  T                                                     PTS:   1

9. If health professionals are asked questions by adolescents, it is a good

idea to moralize as this helps adolescents learn and understand how to live
morally as adults. _________________________

ANS:  F, not to moralize

 
 PTS:   1

10. It is important to give rewards to adolescents. _________________________

ANS:  F, children

PTS:   1

MULTIPLE CHOICE

1. When health professionals care for children, it is best to

a. allow privacy and the right to be examined without parents present

b. offer a choice only when you know the decision will be the correct one

c. emphasize preventive care

d. make them comfortable, as it is important at this age

ANS:  B                    PTS:   1

2. For adolescents, which of the following statements is true?

a. The clinic environment is important.

 b. It is important not to keep them or their parents waiting.

c. Set limits that are fair and consistent.

d. Take sides during teenagers’ battles with their parents, not the teen.

ANS:  C                    PTS:   1

3. For the elderly, it is important to

a. allow extra time to compensate for their physiological changes

b. set fair and consistent limits

c. help them remain independent as long as possible

d. a and c

ANS:  D                    PTS:   1

4. In caring for the adult client, it is important to

a. recognize the stress caused by accidents or serious illness

 b. ask what is happening in their lives

c. use therapeutic communication to get to know them

d. prepare them to transfer to a physician who cares for the elder adult

e. a, b, and c

ANS:  E                    PTS:   1

5. Very rapid growth and development occurs in which age group?

a. infants d. adult

b. children e. elderly adult

c. adolescent  

ANS:  A                    PTS:   1

6. Which age group has a more difficult time adjusting to illness and disease?

a. children c. adults
 b. adolescents d. elderly adults

ANS:  A                    PTS:   1

7. This individual used moral dilemmas to determine which stage of moral

reasoning a person uses.

a. Piaget c. Kohlberg

b. Freud d. Maslow

ANS:  C                    PTS:   1

MATCHING

Match each item with the correct statement below.

a. Infants d. Adolescents

b. Children e. Adults

c. Elderly adults  

 
  

1. Do not promise a cure but encourage them to have hope.

2. The environment is important.

3. The health professional must clearly like and care about this age group.

4. Do not assume that this age group tells their parents everything they know
about sex.

5. Safety issues are a primary concern.

1. ANS:  E                    PTS:   1

2. ANS:  B                    PTS:   1

3. ANS:  D                    PTS:   1

4. ANS:  C                    PTS:   1

5. ANS:  A                    PTS:   1

SHORT ANSWER

1. List three factors that health professionals need to understand in order to

therapeutically communicate with any of the different age levels. Be specific.
  

ANS:

In any order:

Human growth and development

Lifetime experiences of clients

Education of client

Predisposition and inherited characteristics of client

Client’s culture

Specific and unique needs of each age level

PTS:   1

2. Explain what is meant by, “Health professionals encourage the elderly

clients to take part in activities as much as possible.”

ANS:

Some suggested responses in any order:

Elderly clients may need:

1. additional intellectual activities to sharpen their minds.

2. additional physical or occupational activities to help them remain independent longer.

 to be assessed to see if they need referrals to senior centers, adult daycare, or assisted
3.
living.

PTS:   1

3. What does the following sentence mean?

Remember that some diseases may affect cognition.

ANS:

Answers may vary.

Cognition refers to processes by which a person knows the world and interacts
with it. It involves the way in which the brain learns and interprets information.

Health professionals must specifically address clients’ cognitive changes so that

clients will remain physically and mentally active yet safe in their environments.

PTS:   1

4. Explain the importance of comfort for the elderly.

ANS:

Answers may vary.

 
 In the reception area, furniture must be comfortable and at a height for the
elderly to use and easily get in and out of. Furniture arms may alleviate pain and
discomfort. Pillows may help with support.

Handrails in restrooms provide safety and support as well as allowing them

autonomy.

Adjustable exam room tables or adaptations may be helpful for ease of getting
on or off them.

Other age groups generally do not have such physical challenges and therefore
do not require such comfort adaptations.

PTS:   1

5. Health professionals must recognize their role as members of the health

care team when caring for adult clients. Explain what this means.

ANS:

Answers may vary.

Adults may have more than one primary health provider, so health professionals
are members of a team rather than the “whole team” themselves.

For example, women may receive care from an OB/GYN at the same time as an
internal medicine physician and a surgeon.

Obviously, health professionals are members of a team in their employment

environment, too!
  

PTS:   1

6. How can health professionals help adolescents feel a sense of worth?

ANS:

Answers will vary. Suggestions include:

By providing time to listen to them

By helping them resolve the tensions they feel

By establishing limits that offer security

PTS:   1

7. Name one way health care professionals can impact the morality of
clients.

ANS:

By discussing a healthy lifestyle as part of normal development at any age level.

Positive reinforcement, praise, and verbal explanation should be used by the

health professional. They can strive to be positive role models to any age group.

PTS:   1
  

8. Explain the importance of health professionals knowing their feelings

when they are caring for children.

ANS:

Children know almost instantly whether or not you like them and/or whether or
not you feel secure taking care of them.

Health professionals need to know and understand this age group and continue
working with children until they feel comfortable working with children.

If children are “unlovable,” it is sometimes difficult for health professionals to

keep their feelings in check. Obviously, this can be true of any age group, yet
children need compassion and nurturing so that they can leave the clinic
knowing professionals care about them no matter how they behaved.

PTS:   1

9. Explain why it is important to see this particular age level as soon as they
arrive.

ANS:

Children and their parents, because they become anxious quickly—both parent
and child! Sick children may become irritable and misbehave, making the
reception area a very uncomfortable place for other clients who are waiting for
appointments.

Health professionals should not take childrens’ misbehaviors and actions

personally; rather, get to know the child and understand him or her.

 
PTS:   1