1.
The nurse understands that empathy is essential to
the therapeutic relationship. When a patient makes the
statement, i am just devastated that my marriage is
falling apart,i the nurse can best show empathy through
which of the following responses?
- You feel like your world is falling apart right now.
2. The nurse is working with a patient who has quit
several jobs and no longer sends financial support to his
two children living with their mother. This behavior is in
conflict with the nurse's values concerning responsible
parenting. When discussing family roles with the
patient, the nurse shows positive regard through which
statement?
- How is not working right now affecting you?
3. Which of the following statements is true of the
component of a therapeutic relationshipóiacceptancei?
- It is avoiding judgments of the person, no matter
what the behavior is.
4. Which of the following behaviors by the nurse
demonstrate positive regard? Select all that apply.
- Calling the client by name
- Spending time with the client
- Responding openly
- Considering the client's ideas and preference when
planning care
5. The nurse initiating a therapeutic relationship client
should explain the purpose, which is to
- facilitate a positive change.
6. Which of the following is the most important skill the
nurse must bring to the therapeutic nurseclient
relationship?
- Empathy
7. Which is a standard for establishing a code of conduct
for living?
- Values
8. A nurse makes the statement in a treatment team
meeting, it's not worth it to try to teach this patient how
to make better choices. He has been here many times
before and goes back home and does the same thing i
The nurse is sharing which of the following?
- Attitude
9. The client tells the nurse, il don' think you can help
me. Every time I talk to you, I am reminded of my
mother, and I hated her.i The nurse should recognize
this as
- incongruence
10. When preparing for the first clinical experience with
patients on a forensic unit at a psychiatric hospital, the
nursing instructor discusses students' beliefs and fears
surrounding forensic patients. The primary reason for
discussing personal beliefs is to
- become aware of possible barriers to developing
therapeutic relationships.
11. A nurse is working with a patient whose background
is very different from hers. A good question to ask
herself to assure she can be effective working with this
patient would be,
- What experiences do I have with people with similar
backgrounds?
11. The client says to the nurse, i feel really close to you.
You are the only true friend I have. The most
therapeutic response the nurse can make is,
- Since ours is a professional relationship, let's explore
other opportunities in your life for friendship.
13. A client who had been in a substance abuse
treatment program asks the nurse for a date after the
client is discharged. 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?
- Defining boundaries
14. 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?
- Holding a prejudice toward this patient
15. Which one of the following statements about the
nurse and ethnocentrism is true?
- Nurses as people may inwardly view their own
culture as superior to others.
Explaining the boundaries of the
16. A nurse is using the Johari window
to identify the degree to which he feels
comfortable communicating with
others. After completing the exercise,
the nurse discovers that quadrant 1 has
the longest list of qualities. This
indicates which of the following about
the nurse?
- The nurse is open to others.
17. A nurse is assigned to care for a
client whose sexual orientation differs
from the nurse's sexual orientation.
When should the nurse seek clinical
supervision?
- When the nurse tries to assist the
client to change values
18. A nurse notices a patient sitting
quietly alone, eyes downcast, and
looking sad. The nurse says to the
patient, You look like something is
bothering you.i Which pattern of
knowing did the nurse use to respond
to the patient?
- Personal knowing
19. The nurse assesses fine hand
tremors in a patient with a history of
heavy alcohol use the nurse
understands that the tremors are a
direct result of alcohol use, the nurse
using which pattern of knowing,
according to Carper?
- Empirical knowing
20. A nurse openly admits to not being
able to relate to a patient's experience.
According to Munhall, this will most
likely have what influence on the
therapeutic relationship?
- The nurse will avoid imposing any
values on the patient.
21. The nurse and patient are visiting
about upcoming sporting events of
which they both share an interest. This
form of interaction has the potential to
threaten the nursepatient relationship
by
- avoiding serious work that can help
the patient change.
22. The nurse is mindful of maintaining
relationships with patients that are
therapeutic. Certain characteristics of
the relationships the nurse will foster
include: Select all that apply.
- establishing boundaries for both the
nurse and patient,
- maintaining a patient-focus at all
times, sharing personal feelings
openly with the patient.
- avoiding concem with whether the
patient likes the nurse.
23. One of the primary differences
between social and therapeutic
relationships is the
- type of responsibility involved.
24. During the orientation phase of the
nurserpatient relationship, the nurse
directs the patient to do which of the
following?
- Identify problems to examine
25. The nurse has been working with a
patient with an eating disorder for one
week. During the morning treatment
team meeting, the treatment plan is
updated. Which of the following would
be appropriate interventions at this
time in the nurse§patient relationship?
Select all that apply.
- Exploring perceptions of reality
- Promoting a positive self-concept
-Assisting in identifying problems
26. 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 of
the following responses?
- i can sense you are angry this morning. Tell me how
you feel about being
27. During a regular home health visit to an elderly
client, the nurse observes that the client has feelings of
hopelessness and despair. The client says, I’m old, and
my life has no purpose anymore. But promise me you
won't tell anyone. How should the nurse respond?
- I’m sorry, but I can't keep that kind of secret.
28. What would he the most appropriate action by the
student nurse when the client asked the student nurse
to keep it secret that the client plans to kill a family
member?
- The student nurse must tell the client that the
student nurse cannot keep that secret and then report
it to the instructor and or staff members.
29. During the working phase of a therapeutic
relationship, which of the following actions by the nurse
would best help the client to explore problems?
- Encouraging the client to clarity feelings and behavior
30. Which of the following occurrences is considered a
breach of professional boundaries?
- Having a lengthy social conversation with a patient
31. Which of the following statements correctly depict
the problem of feeling sympathy toward the client?
Select all that apply.
- When the nurse' behavior is rooted in sympathy, the
client finds it heavier to manipulate the nurse's
feelings.
- The client is discouraged from exploring his or her
problems, thoughts, and feelings,
- The client is discouraged from growth.
- The client feels dependent on the nurse.
32. How can a nurse avoid the possibility of finding the
client's behavior unacceptable or distasteful?
- By being aware of the client's behavior and
background before beginning the relationship; and
exploring the possibility of a conflict of a colleague.
33. A nurse and patient have just completed reviewing
the patient's take-home medications.
'The nurse is exemplifying which role during this
intervention?
- Teacher
An adolescent patient has just been found to have
broken one of the unit rules. The nurse imposes the
consequence of losing phone privileges. In this instance,
the nurse is acting as A) advocate.
- parent surrogate.
35. Which role of the nurse is most likely to create
difficulty for the nursenclient relationship if the client
confuses physical care with intimacy and sexual
interest?
- Caregiver
36. Which of the following statements is true about a
nurse's self-disclosure?
- The more the nurse discloses, the more the client will
disclose.