MID TEST

DIPLOMA IN NURSING

COMMUNICATION 1 Hour

1. This paper contains THIRTY (30) multiple choice questions in Section A,

TWO (2) short essays questions in Section B.
2. Answer ALL the questions on Section A, and Section B. All answers
should be written in the designated answer sheet.
3. Any misconduct found during the paper will constitute a mark of 0 for the
paper and you WILL be asked to LEAVE the exam hall IMMEDIATELY.
4. This paper comprises 20% of the total marks of the Final Assessment.
5. This paper contains 8 pages including this page.

Registration number from Student Card :

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 SECTION A
(30 Marks)

INSTRUCTION: This section contains THIRTY (30) multiple choice questions.

Answer ALL questions in this section.

01. Communication process is based on

A. treatment of medical doctor.

B. nurses demands and desires.
C. a stimulus or needs of patient..
D. a family and community complain.

02. One of the principles in communication.

A. Speak loudly.
B. Use high tone.
C. Use simple words..
D. Avoid eye contact.

03. Aim of communication is to

A. Blame others.
B. Gain information..
C. Have some gossip material.
D. Find others of their mistakes.

04. Of the following descriptions, which one does not accurately elements of
the communication process in nursing?

A. Encoder.
B. Decoder.
C. Counselor..
D. Receiver.

05. Important aspect to be considered in verbal communication is, except

A. clarity
B. simplicity
C. intonation
D. physical appearance.

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06. Non-verbal communication can be assessed by
A. Rhythm.
B. Writing.
C. Gestures..
D. Speaking.

07. The most important source of non verbal communication is

A. posture
B. gestures
C. eye contact
D. facial expression

08. Interpreting verbal and nonverbal symbols.

A. Encoding
B. Decoding.
C. Feedback
D. Messenger

09. Environment distraction can impair and distort communication. The kinds of
distortions in the communication process is

A. eye contact
B. simple language
C. hand writing clear
D. noises from environment.

10. One of the following is a barrier to communication

A. Asking relevant question.

B. Focusing client as a whole.
C. Listening critically to what client has to say.
D. Changing a subject while client communicating..

11. Therapeutic nurse-client relationship is one that demonstrates

A. caring..
B. judgmental.
C. disrespectful.
D. physical attraction.

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12. One of the goals of therapeutic communication

A. Able to instruct client what to do.

B. To gather data on clients health problems..
C. To know more about clients personal problem.
D. To give the nurse chance to share her personal problems.

13. Speaking with loudly and screaming voices to the clients are kinds of
barriers to therapeutic communication in

A. gender
B. Emotion.
C. health status
D. cultural differences

14. When preparing a bed bath for a patient which question reflects therapeutic
communication?

A. Do you want the bath now or later?

B. Do you want soap or shower cream?
C. May I help you with your bath?.
D. May I watch you having your bath?

15. Sitting and taking the client’s nursing history is an example of an interaction
in the

A. intimate zone
B. personal zone.
C. social zone
D. public zone

16. The nurse should knock the door before entering in her room. It’s one of the
following communication factor

A. Territorial.
B. environment
C. relationships
D. interpersonal attitude

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17. Which of the following body language would be measured fear for the 3
years old in nonverbal communication

A. smile
B. closed eye
C. shouting “mama”
D. the child’s turning away from the door.

18. During an interview which type of questions will give the most information?

A. Short questions
B. Long questions
C. Open ended questions.
D. Close ended questions

19. As a verbal therapeutic communication open ended questions are most

effective rather than closed-ended questions. Which of the following is the
open-ended question?

A. “How are you today?”

B. “Do you need anything?”
C. “Tell me about your discomfort”.
D. “Do you know your surgery is schedules on 11 am?”

20. The nurse demonstrate active listening by

A. agreeing with the client says.

B. repeating everything said by client.
C. sitting with arm folded and leg crossed.
D. attentive to a verbal and non-verbal communication..

21. This therapeutic technique is used when more specific information is

needed to accurately understand the client’s message.

A. Focusing.
B. restating
C. summarizing
D. offering information

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22. This technique is a review of the main points covered in an interaction and
used at the end of a client teaching session.

A. reflecting
B. clarifying
C. Summarizing.
D. stating observations

23. During an interaction with a critically ill patient’s family, the nurse uses the
therapeutic communication technique of silence to

A. convey warmth.
B. communicate with the patient.
C. allows time to organize their thoughts..
D. allows feedback to verify understanding of the message.

24. The best statement should be spoken to the patient by a nurse during the
orientation phase is

A. “I will sit wit you awhile.”

B. “Tell me what’s bothering you.”
C. “Your mother is not here, I am a nurse.”
D. “My name is Firdaus, I am a student nurse.”.

25. During his admission interview Mr. Shafei, an older patients, states, “I can’t
hear you very well.” After determining that Mr. Shafei does not have a
hearing aid, the nurse should

A. speak in a higher-pitched voice.

B. speak loudly into his “good” ear.
C. exaggerate lip movement while speaking.
D. face Mr. Shafei and speak slowly and distinctly..

26. When taking health history, you should focus on which of the following.

A. Completing the process quickly.

B. Using good communication skills to identify the client’s health status..
C. Documenting everything the client tells you.
D. Attempting to have no interruption from the family members.

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27. Your client tells you that he is afraid of his operation. Which of the following
will be your response?

A. Tell me more sir..

B. Are you having pain now?
C. Ask your family members to stay by you.
D. Don’t worry your surgeon is an expert surgeon.

28. Communication among nurses is important because it

A. Provide continuity care..
B. allows nurses to become good friends
C. allows nurses to identify who gives the best care
D. gives time for nurses to gather data on client’s personal problems

29. Which of the following statement most representative of a collaborative

nurse physician relationship?

A. “The new medication you prescribed is ineffective ˝.

B. “I am worried about the client’s blood pressure. It is not decreasing
even with the new medication˝..
C. “Can we talk about the patient’s new medication now˝?
D. “Excuse me doctor we need to talk about your patient’s new
medication˝.

30. Mr. Faizal is in coma following a motor vehicle accident. Which of the
following statements regarding communication with Mr. Faizal is most
appropriate?

A. Speak to Mr. Faizal as if he can hear what is being said..

B. Avoid verbal stimulation because it may trigger excitability.
C. Encourage family members to limit visitation to no more than 5 minutes
per hour.
D. Turn on the television to stimulate Mr. Faizal.

SECTION B

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 (10 Marks)

INSTRUCTION: This section contains TWO (2) short essay questions. Answer
ALL questions in this section.

QUESTION 1

Communication plays an important role in nursing.

a. State and explain FIVE (5) importance of communication in

nursing. (5 marks)

QUESTION 2

Communication in nursing ideally is therapeutic communication in which

an exchange of information takes place that facilitates the formation of a
positive nurse-client relationship.

a. State TWO (2) goal of therapeutic communication. (2 marks)

b. Describe the behaviors / elements in therapeutic communication. (3 marks)

END OF QUESTIONS

ANSWER

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QUESTION 1

Communication plays an important role in nursing.

a. State and explain FIVE (5) importance of communication in

nursing. (5 marks)
1. Assessing Client
2. Gather Information
3. Health Education
4. To establish rapport (relationship)
5. Planning of care
6. To ensure continuity of care
7. To maintain proper documentation
8. Provide support
9. To manipulate the environment
10. Caring for Client’s with
communication impairment or barriers
11. Communicating with children

QUESTION 2

Communication in nursing ideally is therapeutic communication in which

an exchange of information takes place that facilitates the formation of a
positive nurse-client relationship.

a. State TWO (2) goal of therapeutic communication. (2 marks)

 DEVELOP TRUST
- SHOW CARING
- OBTAIN OR PROVIDE
- INFORMATION
- EXPLORE FEELING

b. Describe the behaviors / elements in therapeutic communication. (3 marks)

1. CARING
2. WARMTH
3. ACTIVE LISTENING
4. GENUINENESS
5. EMPHATY
6. ACCEPTANCE AND RESPECT
7. SELF-DISCLOSURE

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