Free Practice Quiz Question List

03 Therapeutic Communication and the Nurse-Client Relationship Online Quiz Questions

Use this free practice quiz with 20 questions to review 03 Therapeutic Communication and the Nurse-Client Relationship, test your knowledge, and prepare for your next test or exam.

20 questions
01
True or false
1 point

True or false: A nurse can respond empathetically to a client without agreeing with the client’s beliefs or actions.

  1. A

    True

  2. B

    False

02
Choose one
1 point

A client says, “I’m worried this medication will keep me awake.” The nurse replies, “You’re concerned it may affect your sleep?” Which communication technique is the nurse using?

  1. A

    Restating or paraphrasing

  2. B

    Presenting reality

  3. C

    Focusing

  4. D

    Summarizing

03
Fill in the blank
1 point

When a nurse introduces their role, explains the purpose of an interaction, and identifies a client’s concerns, the nurse is in the phase of the therapeutic relationship.

04
Choose one
1 point

At the end of a shift, a nurse reviews a client’s progress and explains who will provide continuing care. Which phase of the therapeutic relationship does this illustrate?

  1. A

    Orientation

  2. B

    Termination

  3. C

    Working

  4. D

    Motivational interviewing

05
Choose all
1 point

A client’s agitation is increasing. Which actions should the nurse take to support de-escalation? Select all that apply.

  1. A

    Reduce noise and other stimulation when possible.

  2. B

    Move close to the client and block the exit to keep them engaged.

  3. C

    Keep a safe distance and an unobstructed exit.

  4. D

    Use brief, simple statements and allow time for a response.

  5. E

    Challenge the client’s statements to stop the agitation.

06
Written response
1 point

What teaching method asks a client to explain a care plan in their own words so the nurse can check whether the explanation was clear?

07
True or false
1 point

True or false: A nurse should ask before touching a client because touch may be distressing for some clients.

  1. A

    True

  2. B

    False

08
Fill in the blank
1 point

A nurse gently returns the conversation to a concern the client mentioned earlier. This communication technique is called .

09
Choose one
1 point

A frightened client says they see someone in an otherwise empty room. Which response best uses presenting reality?

  1. A

    Argue that the client’s perception is impossible.

  2. B

    Calmly state what you observe while acknowledging that the client feels frightened.

  3. C

    Change the subject to avoid increasing the client’s distress.

  4. D

    Tell the client that they should not feel frightened.

10
Written response
1 point

What communication approach uses reflective listening, open questions, and summaries to explore a client’s own reasons for changing a behavior?

11
Choose all
1 point

Which nurse responses can block communication by dismissing, directing, or blaming the client? Select all that apply.

  1. A

    Tell the client, “Everything will be fine.”

  2. B

    Acknowledge the concern and ask what the client needs.

  3. C

    Tell the client, “You should just leave.”

  4. D

    Ask, “Why did you do that?”

  5. E

    Explore options together with the client.

12
Choose one
1 point

A client says, “I felt unsafe last night.” Which communication technique is the nurse using by asking, “When you say you felt unsafe, what happened?”

  1. A

    Summarizing

  2. B

    Silence and presence

  3. C

    Clarification

  4. D

    Reflection or validation

13
Open ended
1 point

A nurse is planning a conversation with a client whose language and sensory preferences differ from the nurse’s. Explain how the nurse should adapt communication and address touch to support a therapeutic interaction.

14
Choose one
1 point

A nurse and client explore the client’s coping strategies and strengths, then work together toward agreed care goals. Which phase of the therapeutic relationship is this?

  1. A

    Orientation

  2. B

    Working

  3. C

    Termination

  4. D

    A social relationship outside the scope of care

15
Choose one
1 point

A client says, “I felt unsafe last night,” but does not explain what happened. Which response best uses clarification?

  1. A

    Tell the client what they probably meant.

  2. B

    Ask the client to explain what they mean by “unsafe.”

  3. C

    Change the subject to reduce the client’s distress.

  4. D

    Reassure the client that everything will be fine.

16
Choose one
1 point

A nurse is beginning a first conversation with a client. Which action best fits the orientation phase of the therapeutic relationship?

  1. A

    Explore the client’s coping strategies and work toward agreed goals.

  2. B

    Review progress and arrange follow-up before ending the relationship.

  3. C

    Introduce yourself, explain your role, and identify the client’s concerns.

  4. D

    Provide care without discussing the client’s immediate concerns.

17
True or false
1 point

When using motivational interviewing, a nurse should respect the client’s autonomy and ask permission before offering information.

  1. A

    True

  2. B

    False

18
Written response
1 point

What communication technique calmly states the nurse’s observation while acknowledging the client’s feelings, without arguing?

19
Choose one
1 point

A client is anxious about an upcoming procedure. Which nurse response is an example of false reassurance that can block communication?

  1. A

    “Everything will be fine.”

  2. B

    “What has been hardest for you today?”

  3. C

    “It sounds like you feel overwhelmed.”

  4. D

    “What would help you right now?”

20
Written response
1 point

What phase of Peplau’s framework involves closing the interaction clearly, reviewing progress, and summarizing next steps?