DNNS 1043

Data Provided: None

SCHOOL OF NURSING AND ALLIED HEALTH SCIENCES 2013

DIPLOMA IN NURSING

COMMUNICATION AND PUBLIC RELATION (DNNS 1043) 2.5 Hours

1. This paper contains FOURTY (40) multiple choice questions in Section A,

THREE (3) 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 60% of the total marks of the Final Assessment.

Registration number from Student Card – to be completed by student

 SECTION A
(40 Marks)

INSTRUCTION: This section contains FOURTY (40) multiple choice questions.

Answer ALL questions in this section.

01. Communication is defined as a process of

A. interpreting the sender’s message.

B. generating a message from receiver.
C. exchanging information between the sender and receiver.
D. thinking, idea or emotion that one person sends to another.

02. The following communication process is NOT true:

A. Sender
B. Message
C. Feedback
D. Touch

03. In the process of communication, sender

A. must verify the message received.

B. is to understand another person’feeling or perception.
C. is receiving the message through auditory, visual and touch.
D. Is the person who has thought, idea or emotion to convey to
another person.

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

A. Clarity
B. Simplicity
C. Intonation
D. physical appearance

05. Non-verbal communication can be assessed by

A. Rhythm
B. Writing
C. Gestures
D. Speaking

06. Interpreting verbal and nonverbal symbols.

A. Encoding
B. Decoding

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 C. Feedback
D. Messenger

07. 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

08. 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.

09. 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.

10. In therapeutic communication, the nurse should have some behavior,

except:

A. caring and warmth.

B. blaming and forcing.
C. genuineness and caring.
D. respecting and warmth.

11. Which of the following statements accurately describe how various factors
influence communication?

A. Men and women possess similar communication styles.

B. The communication process doesn’t need any supportive environment.
C. A nurse performing a patient interview should sit as close as possible to
obtain accurate information.
D. Cultural influences a person’s word view and relationships with
surrounding environment, religion, time and others.

12. As a nurse, you should try to put yourself in their position without involving
the feeling of,
A. Warmth
B. Active listening
C. Genuineness
D. Empathy

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13. Which of the following statements would be best to stimulate conversation
with a client about his/her social history?

A. Are you married?

B. Do you have any children?
C. Tell me about your family?
D. Is your role in the family important?

14. 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

15. 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

16 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

17. 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?”
18. The client says to the nurse,” Do you think I have cancer?”. Which would be
an appropriate replay?
A. “Of course not.”
B. “You are worried about cancer?”
C. “You should ask your doctor about that.”
D. “I can’t answer that until the tests are completed.”

19. The nurse demonstrate active listening by

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 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.

20. The nurse asks the client,” What do you fear most about your surgery
tomorrow?”
This is an example of which of the following communication techniques?.

A. Summarizing.
B. Seeking clarification.
C. Presenting reality.
D. Providing general leads.

21. 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.

22. 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 Amira, I am a student nurse.”

23. 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.

24. 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

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 status.
C. Documenting everything the client tells you.
D. Attempting to have no interruption from the family members.

25. When communicating with an well orientated old client which statement
best reflects respectful and caring communication?

A. Go take your shower now.

B. Its time to have your dinner.
C. Are you comfortable?
D. Get dressed now.

26. You observe your client appears to be crying. The most appropriate action
will be

A. Approach and talk to the client.

B. Ignore the client.
C. Ask the relatives to deal with the client.
D. Ask the client to stop crying.

27. 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

28. Which one of the list activities that really require written communication?
A. When a nurse give health education.
B. Having conversation with the client during lunch time.
C. Nurses do shift report and accompany doctor visit.
D. Reporting the client’s progress or condition in chart.

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. Which of the following are qualities of helping relationship?

A. The helping relationship occurs spontaneously.

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 B. A helping relationship is purposeful and time limited.
C. The helping relationship is built on the patient’s needs, not on
those of the helping person.
D. A helping relationship is always happened in the nurse-client
relationship.

31. 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
D. Turn on the television to stimulate Mr. Faizal.

32. A set of cognitive processes and structures concerned with thought,

attitudes and perception

A. Self identify
B. Self concept
C. Self image
D. Self esteem

33. The nurse is planning to care for a client with low self-esteem because of
cancer. The appropriate goal is the client will

A. admit the need for help at home.

B. state two positive aspects of her life.
C. decide to quit work during treatment.
D. not demonstrate anxiety or fear.

34. The management function which executes a program of action to

monitoring and evaluating public attitude; maintaining mutual relation;
understanding between organization and public.
A. Public services
B. Public welfare
C. Public relation
D. Public authorities

35. Noor Ain is confident with her ability to perform and sustain the
recommended behavior in nursing a patient with little or no help from her
friends, which plays a major role in actual performance. The supervisor
appreciates on SELF EFFICACY. What do you understand by his
appreciation?

A. His feeling in the hospital environment.

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 B. She appreciates her supervisor management.
C. Her feeling of adequacy, efficiency, and competence in coping
with life.
D. The supervisor appreciates her and belief in a higher power, higher
existence.

36. In which of the following phases of the helping relationship is an agreement

or contract about the relationship established?

A. Pre-interaction phase.
B. Orientation phase.
C. Working phase.
D. Termination phase.

37. “I’ll see you again tomorrow at 8.00 am to serve your morning medication.”
In what phase of the nurse’s statement reflect to?

A. Introduction
B. Working phase
C. Termination phase
D. Self-reflection

38. Counseling is
A. a two way communication.
B. a process whereby a qualified person purposefully assist
another person to better handle his/her problems.
C. promotes understanding and helps in establishing a constructive
relationship between the nurse and the client.
D. composed of verbal and non- verbal techniques that the nurse uses
to focus on the client and the client’s problems/needs.

39. The first 3 steps of counseling process is as follows:

i) Responding the client based on the counselor’s personal value.
ii) Assessing the client’s problem
iii) Selecting, implementing effective treatment
iv) Evaluating the counseling

A. i, ii and iii
B. i, ii and iv
C. ii, iii and iv
D. i, iii and iv

40. Which of the following is the nurse’s role as a counselor?

A. Changing individual behavior from alcoholic to healthy lifestyle.

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 B. Establish a good relationship between nurse and client.
C. Explore the client feeling like anxiety.
D. Get client’s attention prior to speaking.

SECTION B
(20 Marks)

INSTRUCTION: This section contains THREE (3) short essay questions.

Answer ALL questions in this section.

QUESTION 1

Therapeutic communication is essential in nursing.

a. Define therapeutic communication. (1 marks)

b. State TWO (2) goals of therapeutic communication. (2 marks)

c. Identify and explain THREE (3) techniques of therapeutic (3 marks)

communication.

QUESTION 2

En Fazli is recently diagnosed as suffering from kidney disease. He was

shocked, fearful and did not know what to do. As a counselor

a. State FOUR (4) principles of counseling. (2 marks)

b. Explain the rationale of counseling for En. Fazli (2 marks)

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 Describe in detail stages in counseling on the following aspects: (3 marks)
i. Attending
ii. Listening
iii. Responding

QUESTION 3

Please answer the following:

a. Explain TWO (2) purposes of public relation. (2 marks)

b. Explain THREE (3) main elements in practice of public relations. (3 marks)

c. Why is so important of having a positive self-concept? (2 marks)

- END OF QUESTIONS -

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