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NMC CBT Mock Test 24:

1. Which of the following approaches creates a barrier to communication?

• Using to many different skills during a single interaction
• Giving advise rather than encouraging the patient to problem solve
• Allowing the patient to become too anxious before changing the subject
• Focusing on what the patient is saying rather than on the skill used

2. Which therapeutic communication technique is being used in this nurse­ client interaction? Client: "When I get angry, I get into a fistfight with my wife or I take it out on the kids." Nurse: "I notice that you are smiling as you talk about this physical violence."

• Formulating a plan of action
• Making observations
• Exploring
• Encouraging comparison

3. The wife of a client with PTSD (post traumatic stress disorder) communicates to the nurse that she is having trouble dealing with her husband’s condition at home. Which of the following suggestions made by the nurse is CORRECT?

• “Discourage your husband from exercising, as this will worsen his condition.”
• “Encourage your husband to avoid regular contact with outside family members.”
• “Do not touch or speak to your husband during an active flashback. Wait until it is finished to give him support.”
• “Keep your cupboards free of high-sugar and high-fat foods.”

4. Compassion in Practice - the culture of compassionate care encompasses:

• Care, Compassion, Competence, Communication, Courage, Commitment - DoH -“Compassion in Practice”
• Care, Compassion, Competence
• Competence, Communication, Courage
• Care, Courage, Commitment

5. Which nursing statement is a good example of the therapeutic communication technique of giving recognition?

• You did not attend group today. Can we talk about that?”
• I’ll sit with you until it is time for your family session.
• “I notice you are wearing a new dress and you have washed your hair.”
• “I’m happy that you are now taking your medications. They will really help.”

6. A client comes to the local clinic complaining that sometimes his heart pounds and he has trouble sleeping. The physical exam is normal. The nurse learns that the client has recently started a new job with expanded responsibilities and is worried about succeeding. Which of the following responses by the nurse is BEST?

• Have you talked to your family about your concerns
• You appear to have concerns about your ability to do your job
• You could benefit from counselling
• It’s normal to feel anxious when starting a new job

7. Which behaviours will encourage a patient to talk about their concerns?

• Giving reassurance and telling them not to worry.
• Asking the patient about their family and friends.
• Tell the patient you are interested in what is concerning them and that you are available to listen.
• Tell the patient you are interested in what is concerning them and if they tell you, they will feel better.

8. The nurse should avoid asking the client which of the following leading questions during a client interview.

• "What medication do you take at home?"
• "You are really excited about the plastic surgery, aren't you?"
• "Were you aware I've has this same type of surgery?"
• "What would you like to talk about?"

9. In non-verbal communication, what does SOLER stand for?

• Squarely, open posture, leaning slightly forward, eye contact, relaxed
• Squarely, open ended questions, leaning slightly forward, eye contact, relaxed
• Squarely, open posture, leaning forward, eye contact, rested
• Squarely, open ended questions, leaning slightly backwards, rested

10. Which nursing statement is good example of the therapeutic communication technique of focusing?

• Your counselling session is in 30 minutes. I’ll stay with you until then."
• You mentioned your relationship with your father. Let's discuss that further
• I'm having a difficult time understanding what you mean
• Describe one of the best things that happened to you this week

11. Which of these is an example of an open question?

• Are you feeling better today?
• When you said you are hurt, what do you mean?
• Can you tell me what is concerning you?
• Is that what you are looking for?

12. During which part of the client interview would it be best for the nurse to ask, "What's the weather forecast for today?"

• Introduction
• Body
• Closing
• Orientation

13. An example of a positive outcome of a nurse-health team relationship would be:

• Receiving encouragement and support from co-workers to cope with the many stressors of the nursing role
• Becoming an effective change agent in the community
• An increased understanding of the family dynamics that affect the client
• An increased understanding of what the client perceives as meaningful from his or her perspective

14. What is supportive communication?

• To listen and clarify using close-ended questions
• A communication that seeks to preserve a positive relationship between the communicators while still addressing the problem at hand
• It involves a self-perceived flaw that an individual refuse to admit to another person, a sensitivity to that flaw, and an attack by another person that focuses on the flaw
• The face to face process of interacting that focuses on advancing the physical and emotional wellbeing of a patient.

15. When a patient arrives to the hospital who speaks a different language. Who is responsible for arranging an interpreter?

• Doctor
• Management
• Registered Nurse

16. Alan has not been able to communicate with the nurses on duty. Using nonverbal communication and gestures to help one identify a service user’s needs is important because:

• the ability to communicate may be affected by illness
• It saves time and makes one more efficient.
• the service user may be distracted and might not enjoy talking to staff
• all of the above

17. When caring for clients with psychiatric diagnoses, the nurse recalls that the purpose of psychiatric diagnoses or psychiatric labeling is to:

• Identify those individuals in need of more specialized care.
• Identify those individuals who are at risk for harming others.
• Enable the client’s treatment team to plan appropriate and comprehensive care.
• Define the nursing care for individuals with similar diagnoses.

18. Mr Ahmad, is visiting his son in London when he was admitted in accident and emergency due to abdominal pain. Mr. Ahmad is from Pakistan and does not speak the English language. As his nurse, what is your best action:

• Ask the relative
• Ask a cleaner who speaks the same
• Ask for an official interpreter
• Transfer him to another hospital who can communicate with him

19. Which of the following statements by a nurse would indicate an understanding of intrapersonal communications?

• "Intrapersonal communications occur between two or more people."
• "Intrapersonal communications occurs within a person"
• "Interpersonal communications is the same as intrapersonal communications."
• "Nurses should avoid using intrapersonal communications."

20. The CQC describes compassion as what?

• Intelligent Kindness
• Smart confidence
• Creative commitment
• Gifted courage

21. What are the principles of communicating with a patient with delirium?

• Use short statements & closed questions in a well -lit, quiet, familiar environment
• Use short statements & open questions in a well lit, quiet, familiar environment
• Write down all questions for the patient to refer back to
• Communicate only through the family using short statements & closed questions

22. Which therapeutic communication technique should the nurse use when communicating with a client who is experiencing auditory hallucinations?

• "My sister has the same diagnosis as you and she also hears voices."
• "I understand that the voices seem real to you, but I do not hear any voices."
• "Why not turn up the radio so that the voices are muted."
• "I wouldn't worry about these voices. The medication will make them disappear."

23. What is the difference between denial & collusion?

• Denial is when a healthcare professional refuses to tell a patient their diagnosis for the protection of the patient whereas collusion is when healthcare professionals & the patient agree on the information to be told to relatives & friends
• Denial is when a patient refuses treatment & collusion is when a patient agrees to it
• Denial is a coping mechanism used by an individual with the intention of protecting themselves from painful or distressing information whereas collusion is the withholding of information from the patient with the intention of ‘protecting them’
• Denial is a normal acceptable response by a patient to a life-threatening diagnosis whereas collusion is not

24. A nurse has been told that a client's communications are tangential. The nurse would expect that the clients verbal responses to questions would be:

• Long and wordy
• Loosely related to the questions
• Rational and logical
• Simplistic, short and incomplete

25. When communicating with a client who speaks a different language, which best practice should the nurse implement?

• Speak loudly & slowly
• Arrange for an interpreter to translate
• Speak to the client & family together
• Stand close to the client & speak loudly

26. Communication is not the message that was intended but rather the message that was received. The statement that best helps explain this is

• Clean communication can ensure the client will receive the message intended
• Sincerity in communication is the responsibility of the sender and the receiver
• Attention to personal space can minimize misinterpretation of communication
• Contextual factors, such as attitudes, values, beliefs, and self-concept, influence communication

27. Which is the most appropriate phrase to communicate?

• I'm sorry, your mother died.
• I'm sorry, your mother gone to heaven
• I'm sorry, your mother is no longer with us.
• I'm sorry, your mother passed away.

28. On a psychiatric unit, the preferred milieu environment is BEST described as:

• Providing an environment that is safe for the patient to express feelings.
• Fostering a sense of well-being and independence in the patient.
• Providing an environment that will support the patient in his or her therapeutic needs.
• Fostering a therapeutic social, cultural, and physical environment

29. The nurse asks a newly admitted client, "What can we do to help you?" What is the purpose of this therapeutic communication technique?

• To reframe the client's thoughts about mental health treatment
• To put the client at ease
• To explore a subject, idea, experience, or relationship
• To communicate that the nurse is listening to the conversation

30. Which of the following is an open-ended question?

• Do you enjoy the activities in this care home?
• Do you like the food in the ward?
• Would you like me to take you out for a walk in the garden?
• What are your favourite activities in the home?

31. Which therapeutic statement is a good example of the therapeutic communication technique of offering self?

• Would you like me to accompany you to your electroconvulsive therapy treatment?"
• I think it would be great if you talked about that problem during our next group session."
• After discharge, would you like to meet me for lunch to review your outpatient progress?"
• I notice that you are offering help to other peers in the milieu."

32. What factors are essential in demonstrating supportive communication to patients?

• Listening, clarifying the concerns and feelings of the patient using open questions.
• Listening, clarifying the physical needs of the patient using closed questions.
• Listening, clarifying the physical needs of the patient using open questions.
• Listening, reflecting back the patient’s concerns and providing a solution.

33. If you were explaining anxiety to a patient, what would be the main points to include?

• Signs of anxiety include behaviours such as muscle tension, palpitations ,a dry mouth , fast shallow breathing , dizziness & an increased need to urinate or defaecate
• Anxiety has three aspects : physical - bodily sensations related to flight & fight response , behavioural - such as avoiding the situation , & cognitive (thinking ) - such as imagining the worst
• Anxiety is all in the mind , if they learn to think differently , it will go away
• Anxiety has three aspects: physical - such as running away , behavioural - such as imagining the worse ( catastrophizing), & cognitive (thinking) - such as needing to urinate.

34. A patient who doesn’t know English comes to hospital. Ur role?

• Use a professional interpreter
• Try to use nonverbal communication techs
• Use the security who knows patient’s language

35. Compassion is best described as:

• showing empathy when delivering care
• not answering relatives queries
• giving patient some monies to buy unhealthy food
• providing care without gaining consent

36. Tom appears to be very confused today. He seems to be quite verbally aggressive towards staff. His urine has also got a bit of foul smell. How would you assess this resident?

• Check his papillary response to light
• Collect a urine sample for MSU
• Carry out the urine dipstick
• b and c
• None of the above

37. Which nursing response is an example of the nontherapeutic communication block of requesting an explanation?

• "Can you tell me why you said that?"
• "Keep your chin up. I'll explain the procedure to you."
• "There is always an explanation for both good and bad behaviours."
• "Are you not understanding the explanation I provided?"

38. The nurse is most likely to collect timely, specific information by asking which of the following questions?

• "Would you describe what you are feeling?’
• "How are you today?"
• "What would you like to talk about?"
• "Where does it hurt?

39. Covert communication may include the following except:

• Body language
• tone of voice
• appearance
• eye contact

40. Mrs B is posted for CT scan. Patient is afraid cancer will reveal during her scan. She asks “why is this test”. What will be your response as a nurse?

• Understand her feelings and tell the patient that it is a normal procedure.
• Tell her that you will arrange a meeting with doctor after the procedure.
• Give a health education on cancer prevention
• Ignore her question and take her for the procedure.

41. A client breathes shallowly and looks upward when listening to the nurse. Which sensory mode should the nurse plan to use with this client?

• Auditory
• Kinesthetic
• Touch
• Visual

42. When communicating with someone who isn't a native English speaker, which of the following is NOT advisable?

• Using a translator
• Use short, precise sentences
• Relying on their family or friends to help explain what you mean
• Write things down

43. Which of the following is NOT an example of non-verbal communication?

• Dress
• Facial expression
• Posture
• Tone

44. Patient has just been told by the physician that she has stage III uterine cancer. The patient says to the nurse, “I don’t know what to do. How do I tell my husband?” and begins to cry. Which of the following responses by the nurse is the MOST therapeutic?

• “It seems to be that this is a lot to handle. I’ll stay here with you.
• “How do you think would be best to tell your husband?”
• “I think this will all be easier to deal with than you think.”
• “Why do you think this is happening to you?”

 

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