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Nurs 132: Communication And Counseling Question Paper

Nurs 132: Communication And Counseling

Course:Bachelor Of Science In Nursing

Institution: Chuka University question papers

Exam Year:2013

CHUKA

UNIVERSITY

UNIVERSITY EXAMINATIONS
FIRST YEAR EXAMINATION FOR THE AWARD OF DEGREE OF BACHELOR OF SCIENCE NURSING
NURS 132: COMMUNICATION AND COUNSELING
STREAMS: BSC. NURS Y1S2 TIME: 2 HOURS
DAY/DATE: MONDAY 22/4/2013 8.30 AM – 1030 AM
INSTRUCTIONS:

The questions are in two sections (I and II)
All questions in the two sections are compulsory.

SECTION 1 (35 MARKS)

1. (a) Define the following terms;

(i) Interpersonal communication [1 Mark]

(ii) metacommunication [1 Mark]

(b) Explain the strategy of building rapport in nurse – client therapeutic
Communication. [3 Marks]

2. Showing the therapeutic value, explain the following therapeutic communication techniques,

(a) Silence [2 Marks]
(b) Touch [2 Marks]
(c) Restating [2 Marks]
(d) Clarification [2 Marks]

3. Describe the phases of group life cycle in group communication. [10 Marks]

4. Discuss three conditions that influence nurse – patient communication. [6 Marks]

5. (a) What is active listening in relation to nurse - client communication?
[2 Marks]

(b) Identify and briefly explain four barriers to active listening that may result
either from the nurse or client. [4Marks]

SECTION II (35 MARKS)

1. (a) Define the following terms:-

(i) Counseling [1 Mark]

(ii) Psychotherapy [1 Mark]

(b) Contrast the following terms:

(i) Transference Vs counter- transference. [2 Marks]

(ii) Preventive counseling Vs curative counseling [2 Marks]

2. (a) Describe three psych analytic techniques in counseling. [6 Marks]

(b) Sigmund Freud notes that people are able to use a wide range of defense mechanisms to cope with anxieties. Briefly explain the type of defense mechanism described in each of the three examples given below.

(i) A lady client is unable to remember that she was raped.

(ii) A student who goes out drinking the night before the final main exam
explains his behavior by saying the test was not all that important.

(iii) A student who is a bully in school becomes a soldier. [6 Marks]

3. State and explain four qualities of an effective counselor. [8 Marks]

4. Describe the following counseling skills, Giving the aims and desired outcomes of each of them.
(a) Empathizing [3 Marks]
(b) Goal setting [3 Marks]
(c) Giving feedback [3 Marks]

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Nurs 132: Communication And Counseling Question Paper

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