Q.1 Which communication technique involves the nurse restating the patient's statement to show understanding?
Reflection
Clarification
Summarization
Confrontation
Explanation - Reflection involves restating the patient's words to demonstrate understanding and encourage further communication.
Correct answer is: Reflection
Q.2 What is the primary goal of active listening in psychiatric nursing?
To give advice
To analyze behavior
To understand the patient's feelings
To distract the patient
Explanation - Active listening helps the nurse focus on the patient's emotions and content, fostering trust and rapport.
Correct answer is: To understand the patient's feelings
Q.3 Which technique encourages patients to share more by using neutral phrases like 'Tell me more'?
Open-ended questions
Closed-ended questions
Giving advice
Probing
Explanation - Open-ended questions cannot be answered with 'yes' or 'no' and encourage detailed responses.
Correct answer is: Open-ended questions
Q.4 When a nurse says 'You seem upset', which communication technique is being used?
Confrontation
Observation
Reflection
Clarification
Explanation - Observation involves commenting on the patient's behavior or feelings without judgment to validate their experience.
Correct answer is: Observation
Q.5 Which of the following is considered a barrier to effective communication in psychiatric nursing?
Active listening
Using medical jargon
Empathy
Reflection
Explanation - Medical jargon can confuse patients and hinder understanding, creating barriers to effective communication.
Correct answer is: Using medical jargon
Q.6 What technique helps the patient explore feelings by summarizing and clarifying their statements?
Summarization
Probing
Advice-giving
Distraction
Explanation - Summarization condenses the patient's statements, confirming understanding and encouraging deeper reflection.
Correct answer is: Summarization
Q.7 In psychiatric nursing, silence can be used effectively to:
Show disinterest
Allow the patient time to reflect
Avoid communication
Ignore patient's feelings
Explanation - Intentional silence gives patients time to think and encourages them to express deeper feelings.
Correct answer is: Allow the patient time to reflect
Q.8 Clarification as a communication technique is primarily used to:
Test the patient
Ensure understanding
Give advice
Change the subject
Explanation - Clarification seeks to clear up any confusion and confirms accurate comprehension of the patient's message.
Correct answer is: Ensure understanding
Q.9 Which technique is helpful when a patient gives vague or conflicting statements?
Confrontation
Reflection
Summarization
Active listening
Explanation - Confrontation addresses discrepancies in patient statements to promote self-awareness and problem-solving.
Correct answer is: Confrontation
Q.10 Using empathy in communication primarily helps the patient feel:
Judged
Supported
Ignored
Criticized
Explanation - Empathy allows the nurse to understand and validate the patient's emotions, fostering trust and support.
Correct answer is: Supported
Q.11 A nurse repeats part of the patient's statement in the form of a question. This technique is called:
Reflection
Paraphrasing
Summarization
Probing
Explanation - Paraphrasing involves rewording what the patient said to confirm understanding and encourage elaboration.
Correct answer is: Paraphrasing
Q.12 Which type of question restricts the patient's response to 'yes' or 'no'?
Open-ended question
Closed-ended question
Reflective question
Clarifying question
Explanation - Closed-ended questions elicit brief responses and are useful for gathering specific information.
Correct answer is: Closed-ended question
Q.13 What is the purpose of using 'probing' in psychiatric nursing communication?
To interrupt the patient
To explore feelings and thoughts
To give advice
To distract the patient
Explanation - Probing gently encourages patients to provide more detail about their experiences or emotions.
Correct answer is: To explore feelings and thoughts
Q.14 Non-verbal communication includes all of the following EXCEPT:
Facial expressions
Gestures
Tone of voice
Asking open-ended questions
Explanation - Non-verbal communication refers to body language, facial expressions, and tone rather than spoken words.
Correct answer is: Asking open-ended questions
Q.15 Which statement is an example of therapeutic communication?
You should feel better soon
I understand this is difficult for you
Why are you upset?
Let's move on
Explanation - Therapeutic communication validates the patient's feelings and promotes emotional support.
Correct answer is: I understand this is difficult for you
Q.16 When a nurse uses minimal cues like 'uh-huh' or 'go on', it is called:
Encouraging elaboration
Giving advice
Clarification
Confrontation
Explanation - Minimal cues prompt the patient to continue talking without interrupting or influencing their thoughts.
Correct answer is: Encouraging elaboration
Q.17 Which communication technique helps in organizing and reinforcing important points during a session?
Summarization
Reflection
Clarification
Probing
Explanation - Summarization condenses discussion points to reinforce understanding and closure.
Correct answer is: Summarization
Q.18 In psychiatric nursing, confrontation should be used carefully because:
It always upsets patients
It may increase defensiveness
It is never effective
It replaces empathy
Explanation - Confrontation can provoke defensiveness if not applied sensitively and therapeutically.
Correct answer is: It may increase defensiveness
Q.19 The technique where a nurse acknowledges and validates the patient's feelings is known as:
Empathy
Reflection
Advice-giving
Confrontation
Explanation - Empathy involves understanding and validating the patient's feelings without judgment.
Correct answer is: Empathy
Q.20 Which type of question encourages patients to explore causes and feelings behind their experiences?
Closed-ended
Leading
Open-ended
Yes/No
Explanation - Open-ended questions allow patients to reflect and provide detailed responses about their thoughts and emotions.
Correct answer is: Open-ended
Q.21 Which of the following is a non-therapeutic communication technique?
Giving reassurance
Using judgmental comments
Clarifying
Reflecting feelings
Explanation - Judgmental comments can harm trust and communication, making them non-therapeutic.
Correct answer is: Using judgmental comments
Q.22 Using 'I' statements instead of 'You' statements in psychiatric nursing helps to:
Avoid blame and reduce defensiveness
Control the patient
Give advice
Interrupt the patient
Explanation - 'I' statements express feelings without blaming, promoting constructive communication.
Correct answer is: Avoid blame and reduce defensiveness
Q.23 Paraphrasing differs from reflection in that it:
Repeats the exact words
Summarizes and rewords content
Judges the patient's behavior
Changes the subject
Explanation - Paraphrasing rewords the patient's message to show understanding, while reflection focuses on feelings.
Correct answer is: Summarizes and rewords content
Q.24 What is the main benefit of using silence therapeutically?
To punish the patient
To encourage self-reflection
To end the conversation quickly
To avoid feelings
Explanation - Therapeutic silence gives patients space to process thoughts and feelings without interruption.
Correct answer is: To encourage self-reflection
Q.25 Which communication technique involves exploring the meaning behind a patient's statement?
Probing
Distraction
Advice-giving
Summarization
Explanation - Probing gently encourages patients to elaborate and explore the deeper meaning of their statements.
Correct answer is: Probing