Interpersonal Relationships Professional Communication Skills for Nurses 7th Edition By Arnold PhD RN PMHCNS-BC – Test Bank
Chapter 6: Variation in Communication Styles
Chapter 6: Variation in Communication Styles
Arnold: Interpersonal Relationships, 7th Edition
MULTIPLE CHOICE
1. Which of the following is a description of metacommunication?
a. Communication style
b. Nonverbal communication
c. Verbal communication
d. Nonverbal and verbal communication
ANS: D
Metacommunication is a broad term used to describe all of the factors that influence how the message is perceived. It is a message about how to interpret what is going on. Metacommunicated messages may be hidden within verbalizations or be conveyed as nonverbal gestures and expressions. Communication style refers to the manner in which one communicates. Nonverbal style includes facial expression, gestures, body posture, etc. Verbal style includes pitch, tone, and frequency.
DIF:Cognitive Level: ComprehensionREF:p. 100
TOP:Step of the Nursing Process: All phases
MSC:Client Needs: Psychosocial Integrity
2. The nurse puts his arm around an older adult client when assisting her to transfer to a chair. The client could interpret the nurse’s touch as
a. a positive gesture only.
b. a threat.
c. denotation.
d. paralanguage.
ANS: A
Touching a client is one of the most powerful ways a nurse has to communicate nonverbally. Within a professional relationship, affective touch can convey caring and reassurance. In studies, nurses’ touching clients has been reported to be perceived both positively as an expression of caring and negatively as a threat. Denotation refers to the generalized meaning of a word. Paralanguage is the way a verbal message is expressed.
DIF:Cognitive Level: ApplicationREF:p. 103
TOP:Step of the Nursing Process: Implementation
MSC:Client Needs: Psychosocial Integrity
3. A description of denotation is
a. a personalized meaning of a word or phrase.
b. a generalized meaning assigned to a word.
c. a meaning shared by families.
d. a meaning generally shared within a specific culture.
ANS: B
Denotation refers to the generalized meaning assigned to a word. Connotation refers to a personalized meaning of a word. Jargon or slang is referred to a meaning generally shared within a specific culture.
DIF:Cognitive Level: KnowledgeREF:p. 101
TOP:Step of the Nursing Process: All phases
MSC:Client Needs: Psychosocial Integrity
4. When communicating about a client with a health care provider from another culture, the nurse states, “The client stopped taking his medications last week when he fell off the wagon.” The health care provider looks at the nurse blankly. This is an example of
a. connotation.
b. information processing.
c. time span between messages.
d. nonverbal cultural variations.
ANS: A
Connotation refers to the use of words in a personalized way that is culturally specific. Processing is not the problem; the health care provider requires an explanation of the meaning. The health care provider does not need more time to translate the message. This is an example of connotation, not nonverbal communication.
DIF:Cognitive Level: ApplicationREF:p. 101
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