ch 5

Question 1

building trust is important in

Answer 1

-the orientation phase of the relationship

Question 2

abstract standards that provide a person with is or her code of conduct are

Answer 2

-values

Question 3

ideas that one holds true are

Answer 3

-beliefs

Question 4

the emotional frame of reference by which one sees the world is created by

Answer 4

-personal philosophy

Question 5

the client tells the nurse “My biggest problem right now is trying to deal with a divorce. I didn’t want a divorce and I still don’t. But it is happening anyway.” which of the following statements by the nurse will convey empathy?

Answer 5

-“Sounds like it has been a difficult time”

Question 6

which are specific tasks of the working phase of a therapeutic relationship? select all that apply.

Answer 6

-encourage expression of feelings

-facilitate behavior change

-promote self esteem

Question 7

confidentiality means respecting the client’s right to keep their information private. when can the nurse share information about the client? select all that apply

Answer 7

-the client gives written permission

-the client threatens to harm a family member

Question 8

the nurse understands that empathy is essential to the therapeutic relationship. when a patient is devastated that their marriage is falling apart, the nurse can show empathy through which response?

Answer 8

you feel like your world is falling apart right now

Question 9

when discussing family roles with the patient, the nurse shows positive regard through which statement?

Answer 9

how is not working right now affecting you?

Question 10

which statement is true of a therapeutic relationship acceptance?

Answer 10

it is avoiding judgments of the person no matter what the behavior is

Question 11

which behaviors demonstrate positive regard? select all that apply

Answer 11

-calling the client by name

-spending time with the client

-responding openly

-considering the client’s ideas and preferences when planning care

Question 12

the nurse initiating a therapeutic relationship should explain the purpose, which is

Answer 12

to facilitate positive change

Question 13

which of the following isn’t he most important for the nurse to bring to the therapeutic relationship?

Answer 13

empathy

Question 14

which is a standard for establishing a code of conduct for living?

Answer 14

values

Question 15

“its not worth it to try to teach this patient who to make better choices. he has been here many times before and goes back home and does the same thing.” the nurse is sharing

Answer 15

attitude

Question 16

the client says “i dont think you can help me. every time i talk to you, i am reminded of my mother and i hated her.” the nurse should recognize this as

Answer 16

transference

Question 17

the primary reason for discussing personal beliefs is to

Answer 17

become aware of possible barrie’s to developing therapeutic relationships

Question 18

a nurse is working with a patient whose background is very different form hers. a good question i to ask to assure she can be effecting working with this patient would be

Answer 18

what experiences do i have with peoples with similar backgrounds

Question 19

the client says “i feel really close to you. you are the only true friend i have” the most therapeutic response would be

Answer 19

since ours is a professional relationship, let’s explore other opportunities in your life for friendship

Question 20

a client who has been in a substance abuse treatment program asks the nurse for a date of discharge. the nurse talks to the client about the importance of a therapeutic relationship and its characteristics. the nurse is using which of the following techniques?

Answer 20

defining boundaries

Question 21

the nurse fails to assess personal values surrounding homosexuality before caring for a patient who is openly gay. the nurse is most at risk for which of the following when working with this patient?

Answer 21

holding a prejudice towards the patient

Question 22

which about ethnocentrism is true?

Answer 22

nurses as poopoo may inwardly view their own culture as superior to others

Question 23

after completing johari exercise, the nurse discovers that quadrant 1 has the longest list of qualities. this indicates what

Answer 23

the nurse is open to others

Question 24

a nurse is assigned to care for a client whose sexual orientation differed from the nurses. when would the nurse seek supervision?

Answer 24

when the nurse trust to assist the client to change values

Question 25

“you look like something is bothering you” which pattern of knowing did the nurse use

Answer 25

personal knowing

Question 26

if the nurse understands that tremors are a direct result of alcohol use, they are using which pattern of knowing

Answer 26

empirical knowing

Question 27

if a nurse admits to not being able to relate to a patient’s experience, this will most likely have when influence on the therapeutic relationship?

Answer 27

the nurse will avoid imposing any values on the patient

Question 28

the nurse and patient are visiting about upcoming sporting events of which the both share an interest. this form of interaction has the potential to threaten the nurse/patient relationship by

Answer 28

avoiding serous work that can help the client change

Question 29

the nurse is mindful of maintaining relationships with patients that are therapeutic. certain characteristics of the relationship the nurse will foster include: select all that apply

Answer 29

-establishing boundaries for both the nurse and patient -maintaining a patient focus at all times -avoiding concern with where the the patient likes the nurse

Question 30

one of the primary differences between social and therapeutic relationships are

Answer 30

type of responsibility involved

Question 31

during the orientation phase of the relationship the nurse directs the patient to do which of the following?

Answer 31

identify problems to examine

Question 32

during morning treatment the treatment plan is updated. which of the following would be appropriate interventions at this time in the relationship? select all that apply

Answer 32

-exploring perceptions of reality -promoting a positive self image -working through resistance

Question 33

a patient being discharged appears angry with the nurse when the nurse attempts to review discharge instructions with the patient. the nurse can best assist the patient in this stage of the relationship with which responses?

Answer 33

I can sense that you are angry this morning. tell me how you feel about being discharged today

Question 34

during a regular home health visit to an elderly patient, the nurse observes that the client has feelings of hopelessness and despair. the client says their life has no purpose anymore but dont tell anyone. how would the nurse respond

Answer 34

sorry, but i can’t keep that kind of secret

Question 35

what would be the most appropriate action by the student nurse when the client asked the student nurse to keep it a secret that they plan to kill a family member

Answer 35

the student nurse must tell the client that they cannot keep that kind of secret and repot it to the instructor or staff

Question 36

during the working phase of a therapeutic relationship which of the following actions by the nurse would best help the client explore problems?

Answer 36

encouraging the client to clarify feelings and behavior

Question 37

which of the following is considered a breach of professional boundaries

Answer 37

having a lengthy social conversation with the client

Question 38

which of the following correctly show SYMPATHY toward client. select all

Answer 38

-when the nurse’s behavior is rooted in sympathy, the client finds it easier to manipulate the nurse’s feelings -the client is discouraged from exploring their own problems, thoughts, and feelings -the client is discouraged from growth -the client feels dependent on the nurse

Question 39

how can a nurse avoid the possibility of finding the client’s behavior unacceptable or distasteful?

Answer 39

by being aware of the client’s behavior and background before beginning the relationship and exploring the possibility of conflict of a colleague

Question 40

a nurse and patient have just completed reviewing the patients take home medications. which role during this intervention

Answer 40

teacher

Question 41

an adolescent patient has just been found to have broke one of the unit rules. the nurse imposes the consequence of losing phone privileges. in this instance, the nurse is acting as

Answer 41

parent surrogate

Question 42

which role of the nurse is most likely to create difficulty for the relationship if the client confuses physical care with intimacy and sexual interest?

Answer 42

caregiver

Question 43

which of the following statements is true about a nurse’s self disclosure

Answer 43

self disclosure on the nurse’s part should benefit the client