True or false: A nurse can respond empathetically to a client without agreeing with the client’s beliefs or actions.
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.
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?
- A
Restating or paraphrasing
- B
Presenting reality
- C
Focusing
- D
Summarizing
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.
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?
- A
Orientation
- B
Termination
- C
Working
- D
Motivational interviewing
A client’s agitation is increasing. Which actions should the nurse take to support de-escalation? Select all that apply.
- A
Reduce noise and other stimulation when possible.
- B
Move close to the client and block the exit to keep them engaged.
- C
Keep a safe distance and an unobstructed exit.
- D
Use brief, simple statements and allow time for a response.
- E
Challenge the client’s statements to stop the agitation.
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?
True or false: A nurse should ask before touching a client because touch may be distressing for some clients.
- A
True
- B
False
A nurse gently returns the conversation to a concern the client mentioned earlier. This communication technique is called .
A frightened client says they see someone in an otherwise empty room. Which response best uses presenting reality?
- A
Argue that the client’s perception is impossible.
- B
Calmly state what you observe while acknowledging that the client feels frightened.
- C
Change the subject to avoid increasing the client’s distress.
- D
Tell the client that they should not feel frightened.
What communication approach uses reflective listening, open questions, and summaries to explore a client’s own reasons for changing a behavior?
Which nurse responses can block communication by dismissing, directing, or blaming the client? Select all that apply.
- A
Tell the client, “Everything will be fine.”
- B
Acknowledge the concern and ask what the client needs.
- C
Tell the client, “You should just leave.”
- D
Ask, “Why did you do that?”
- E
Explore options together with the client.
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?”
- A
Summarizing
- B
Silence and presence
- C
Clarification
- D
Reflection or validation
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.
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?
- A
Orientation
- B
Working
- C
Termination
- D
A social relationship outside the scope of care
A client says, “I felt unsafe last night,” but does not explain what happened. Which response best uses clarification?
- A
Tell the client what they probably meant.
- B
Ask the client to explain what they mean by “unsafe.”
- C
Change the subject to reduce the client’s distress.
- D
Reassure the client that everything will be fine.
A nurse is beginning a first conversation with a client. Which action best fits the orientation phase of the therapeutic relationship?
- A
Explore the client’s coping strategies and work toward agreed goals.
- B
Review progress and arrange follow-up before ending the relationship.
- C
Introduce yourself, explain your role, and identify the client’s concerns.
- D
Provide care without discussing the client’s immediate concerns.
When using motivational interviewing, a nurse should respect the client’s autonomy and ask permission before offering information.
- A
True
- B
False
What communication technique calmly states the nurse’s observation while acknowledging the client’s feelings, without arguing?
A client is anxious about an upcoming procedure. Which nurse response is an example of false reassurance that can block communication?
- A
“Everything will be fine.”
- B
“What has been hardest for you today?”
- C
“It sounds like you feel overwhelmed.”
- D
“What would help you right now?”
What phase of Peplau’s framework involves closing the interaction clearly, reviewing progress, and summarizing next steps?