Ch1 Establishing The Therapeutic Alliance Verified Test Bank

Chapter 1: Establishing the Therapeutic Alliance

Multiple Choice

1. Which of the following statements is true about interactions with patients?
   1. Our attitudes are expressed at a conscious level as well as an unconscious level.
   2. Our past experiences have little to do with our present therapeutic relationships.
   3. Our past experiences shape our attitudes toward our patients, but not our beliefs.
   4. Unchallenged assumptions about our patients generally are favorable.
2. Based on common biases in the U.S. healthcare community, which of the following patients is likely to be at greatest risk for experiencing negative bias?
   1. A 10-year-old boy with chickenpox
   2. A 28-year-old obese Mexican woman with chest pain
   3. A 43-year-old female athlete with a fractured leg
   4. A 72-year-old Caucasian man with osteoarthritis of the knee
3. Which of the following questions is considered MOST culturally inclusive to ask when obtaining a patient’s history?
   1. “Do you live with your wife?”
   2. “Can your wife help you with bathing?”
   3. “Can your husband prepare the meals while you are healing?”
   4. “Are you in a relationship?”
4. Which of the following actions would be MOST helpful in changing healthcare biases?
   1. Be aware of behaviors in others that might reflect bias.
   2. Look for reinforcement of beliefs within a common peer group.
   3. Reflect annually on personal attitudes and beliefs about others.
   4. Seek out commonalities with those perceived as different.
5. Which of the following statements about nonverbal communication is MOST accurate?
   1. It is more difficult to interpret than spoken words.
   2. It is used as a primary means of communicating information.
   3. It is used to communicate interpersonal attitudes.
   4. It makes up about 25% of our communication with patients.
6. Which of the following communication approaches is BEST when communicating with patients in an adult rehabilitation unit?
   1. Ask all patients with whom you are working whether they understand what you have said.
   2. Read the chart before seeing the patient so that you can refer to them by first name.
   3. Ask the patient how they prefer to be addressed.
   4. Use correct medical terminology with your patients to explain therapeutic interventions.
7. Therapists in a nursing home have poor productivity and often lack creativity with interventions. Which of the following factors MOST likely accounts for these problems?
   1. The patients are very demanding and have difficult personalities.
   2. The staff do not genuinely care about the patients.
   3. The staff is experiencing burnout.
   4. The staff is older and less likely to use evidence-based interventions.
8. Patients’ rights are MOST regulated for which of the following individuals?
   1. A 6-month-old boy having surgery for shunt placement
   2. A 19-year-old woman from Russia having scoliosis surgery
   3. A 63-year-old man who is terminally ill with lung cancer
   4. A 75-year-old woman who just had her hip replaced after a fall
9. Which of the following BEST defines culture?
   1. A group of people living in a specific area
   2. The fact or state of belonging to a social group
   3. The geographical characteristics associated with a group
   4. The beliefs, customs, and norms of a particular group
10. Which of the following examples is indicative of acculturation in the United States?
    1. A Jewish couple from Israel attends an orthodox temple.
    2. A Swedish couple travels 20 miles to shop at a Danish market.
    3. A rural Vietnamese youth sings in a local rock group.
    4. An elderly Latino man speaks only Spanish at home.
11. Which of the following responses would be MOST expected for a 17-year-old high school football player who sustained a spinal cord injury 5 months ago?
    1. Asking several questions about the accident and outcomes
    2. Denial and lack of acknowledgement of new limitations
    3. An interest in participating in therapy and following recommendations to improve outcomes
    4. Increased anxiety with lack of adherence to treatment recommendations
12. What would be the BEST response to a patient who is visibly upset, expresses concerns about dying, and wants to talk about spiritual matters?
    1. Allow them to express her concerns and offer additional resources.
    2. Tell them that it is hospital policy that you can only discuss therapy with her.
    3. Tell them that you will go get the physician to speak with her.
    4. Tell them what you believe so she can choose the best spiritual path.
13. Which of the following factors is MOST likely to motivate patients to engage in ongoing healthful behaviors?
    1. Awareness that significant change is needed
    2. Freedom from demands of work and home
    3. Knowing the benefits of healthful behaviors
    4. A high sense of self-esteem
14. When working with a patient who recently had a transtibial amputation, what is the MOST effective way to encourage adherence to an exercise program?
    1. Include only exercises that he can do lying down.
    2. Design exercises so that they require assistance from his partner.
    3. Design the exercise program to be performed multiple times a day.
    4. Include exercises that will further his goal of walking with a prosthesis.