NEED IN 10 HOURS or LESS

Therapeutic Communication

1. In the movie, Shutter Island, Dr. Crawley asked Teddy (Andrew) to explain what happened when

he discovered his deceased children? What therapeutic communication is this an example of?

a. Closed ended questions

b. Using silence

c. Giving broad opening

d. Open ended questions

Rationale: Opened ended questions is correct because this is giving Andrew a chance to answer with

more than a simple yes or no. Using silence is incorrect because he is not being quiet. Closed ended

questions is incorrect because he cannot answer the question with just a yes or no answer. Giving broad

opening is incorrect because Dr. Crawley did ask Andrew to pick the topic and express his thoughts.

2. Dr. Crawley told Andrew if he had another episode, he would be lobotomized. In the ending of

the movie, Teddy called Dr. Sheehan, Chuck. Dr. Sheehan nods his head at Dr. Crawley giving a signal.

What therapeutic communication is this?

a. Making observations

b. Presenting reality

c. Offering self

d. Accepting

Rationale: Making observations is correct because Dr. Sheehan observed that Teddy called him Chuck,

verifying that he was having another episode. Presenting reality is incorrect because he was not trying to

bring him back into reality. Offering self is incorrect because the doctors are not “interested” into Teddy.

Accepting is incorrect because they are not accepting Teddy behavior as normal.

3. In the movie, Shutter Island, the staff of Ashecliffe allowed Andrew to play out the role of Teddy

hoping to cure his conspiracy insanity. This is an example of what kind of therapeutic communication?

a. Accepting

b. Exploring

c. Engaging into fantasy

d. Denial

Rationale: Engaging into fantasy is correct because the staff played into his fantasy of finding Andrew

Laeddis. Exploring is incorrect because exploring is delving further into a subject, idea, experience, or

relationship. Denial is incorrect because no one was in denial about his state of mind. Accepting is

incorrect because they know this act is only to cure his disease.

4. Which question shows an example of the therapeutic communication placing events in

sequence?

a. “You feel angry when he doesn’t help.”

b. “Are you feeling…”

c. “What could you do to let your anger out harmlessly?”

d. “Will you please tell me more about the situation with all the details?”

Rationale: “Will you please tell me more about the situation with all the details” is an example of placing

events in sequence because it will tell you more about the situation and you can piece together when

they happened. The others are incorrect because “You feel angry when he doesn’t help” is an example

of focusing, “Are you feeling…” is an example of verbalizing the implied and, “What could you do to let

your anger out harmlessly?” is an example of formulating a plan of action.

5. Which of the following statements by Andrew Laeddis shows the therapeutic communication of

understanding?

a. I feel ok.

b. This is a very difficult situation.

c. Yes, I understand that Teddy Daniels does not exist.

d. You are not listening to me.

Rationale: “Yes, I understand that Teddy Daniels does not exist” is an example of understanding because

it coveys an attitude of receptivity and regard. The other statements “I feel ok”, “This is a very difficult

situation”, and “You are not listening to me” are incorrect because they are responses of implied

questions.

Defense Mechanism

1. What defense mechanism does Teddy exhibit in the movie Shutter Island?

a. Sublimination

b. Rationalization

c. Projection

d. Fantasy

Rationale: Teddy is exhibiting fantasy because he is gratifying frustrated desires by imaginary

achievements. In the movie Teddy is creating his own fantasy world where he is still a US Marshall, and

he creates his own story of what happened to his wife because he does not want to face the reality of

what really happened. Sublimination is incorrect because he is not channeling an unacceptable impulse

in a socially acceptable direction. Rationalization is incorrect because he is not trying to justify attitudes,

beliefs, or behaviors. Projection is incorrect because he is not attributing his own unacceptable behavior

unto someone else.