Chapter 8 Flashcards
Which statement made by either the nurse or the patient demonstrates an ineffective patient-nurse relationship?
a. “I’ve given a lot of thought about what triggers me to be so angry.”
b. “Why do you think it’s acceptable for you to be so disrespectful to staff?”
c. “Will your spouse be available to attend tomorrow’s family group session?”
d. “I wanted you to know that the medication seems to be helping me fell less anxious.”
b. “Why do you think it’s acceptable for you to be so disrespectful to staff?”
The patient expresses sadness at “being all alone with no one to share my life with.” Which response by the nurse demonstrates the existence of a therapeutic relationship?
a. “Loneliness can be a very painful and difficult emotion.”
b. “Let’s talk and see if you and I have any interests in common.”
c. “I use Facebook to find people who share my love of cooking.”
d. “Loneliness is managed by getting involved with people.”
a. “Loneliness can be a very painful and difficult emotion.”
Which patient outcome is directly associated with the goals of a therapeutic nurse-patient relationship?
a. Patient will be respectful of other patients on the unit.
b. Patient will identify suicidal feelings to staff whenever they occur.
c. Patient will engage in at least one social interaction with the unit population daily.
d. Patient will consume a daily diet to meet both nutritional and hydration needs.
b. Patient will identify suicidal feelings to staff whenever they occur.
What is the greatest trigger for the development of a patient’s nurse focused transference?
a. The similarity between the nurse and someone the patient already dislikes
b. The nature of the patient’s diagnosed mental illness
c. The history the patient has with their parents
d. The degree of authority the nurse has over the patient
d. The degree of authority the nurse has over the patient
. Which patient statement demonstrates a value held regarding children?
a. “Nothing is more important to me than the safety of my children.”
b. “I believe my spouse wants to leave both me and our children.”
c. “I don’t think my child’s success depends on going to college.”
d. “I know my children will help me through my hard times.”
a. “Nothing is more important to me than the safety of my children.”
Mary is a 39-year-old attending a psychiatric outpatient clinic. Mary believes that her husband, sister, and son cause her problems. Listening to Mary describe the problems the nurse displays therapeutic communication in which response?
a. “I understand you are in a difficult situation.”
b. “Thinking about being wronged repeatedly does more harm than good.”
c. “I feel bad about your situation, and I am so sorry it is happening to you and your family.”
d. “It must be so difficult to live with uncaring people.”
a. “I understand you are in a difficult situation.”
A registered nurse is caring for an older male who reports depressive symptoms since his wife of 54 years died suddenly. He cries, maintains closed body posture, and avoids eye contact. Which nursing action describes attending behavior?
a. Reminding the patient gently that he will “feel better over time”
b. Using a soft tone of voice for questioning
c. Sitting with the patient and taking cues for when to talk or when to remain silent
d. Offering medication and bereavement services
c. Sitting with the patient and taking cues for when to talk or when to remain silent
A male patient frequently inquires about the female student nurse’s boyfriend, social activities, and school experiences. Which is the best initial response by the student?
a. The student requests assignment to a patient of the same gender as the student.
b. She limits sharing personal information and stresses the patient-centered focus of the conversation.
c. The student shares information to make the therapeutic relationship more equal.
d. She explains that if he persists in focusing on her, she cannot work with him.
b. She limits sharing personal information and stresses the patient-centered focus of the conversation.
Morgan is a third-year nursing student in her psychiatric clinical rotation. She is assigned to an 80-year-old widow admitted for major depressive disorder. The patient describes many losses and sadness. Morgan becomes teary and says meaningfully, “I am so sorry for you.” Morgan’s instructor overhears the conversation and says, “I understand that getting tearful is a human response. Yet, sympathy isn’t helpful in this field.” The instructor urges Morgan to focus on:
a. “Adopting the patient’s sorrow as your own.”
b. “Maintaining pure objectivity.”
c. “Using empathy to demonstrate respect and validation of the patient’s feelings.”
d. “Using touch to let her know that everything is going to be alright.”
c. “Using empathy to demonstrate respect and validation of the patient’s feelings.”
Emily is a 28-year-old nurse who works on a psychiatric unit. She is assigned to work with Jenna, a 27-year-old who was admitted with major depressive disorder. Emily and Jenna realize that they graduated from the same high school and each has a 2-year-old daughter. Emily and Jenna discuss getting together for a play date with their daughters after Jenna is discharged. This situation reflects:
a. Successful termination
b. Promoting interdependence
c. Boundary blurring
d. A strong therapeutic relationship
c. Boundary blurring
