Therapeutic Relationships and the Clinical Interview

Question 1 of 5

A nurse assesses a confused older adult. The nurse experiences sadness and reflects, 'The patient is like one of my grandparents, so helpless.' What feelings does the nurse describe?

A. Transference

B. Countertransference

C. Catastrophic reaction

D. Defensive coping reaction

Correct Answer:

Rationale:

Question 2 of 5

Which statement shows a nurse has empathy for a patient who made a suicide attempt?

A. You must have been very upset when you tried to hurt yourself.'

B. It makes me sad to see you going through such a difficult experience.'

C. If you tell me what is troubling you, I can help you solve your problems.'

D. Suicide is a drastic solution to a problem that may not be such a serious matter.'

Correct Answer:

Rationale:

Question 3 of 5

After several therapeutic encounters with a patient who recently attempted suicide, which occurrence should cause the nurse to consider the possibility of countertransference?

A. The patient's reactions toward the nurse seem realistic and appropriate.

B. The patient states, 'Talking to you feels like talking to my parents.'

C. The nurse feels unusually happy when the patient's mood begins to lift.

D. The nurse develops a trusting relationship with the patient.

Correct Answer:

Rationale:

Question 4 of 5

A patient says, 'Please don't share information about me with the other people.' How should the nurse respond?

A. I won't share information with others without your permission, but I will share information about you with other staff members.'

B. A therapeutic relationship is just between the nurse and the patient. It's up to you to tell others what you want them to know.'

C. It really depends on what you choose to tell me. I will be glad to disclose at the end of each session what I will report to others.'

D. I cannot tell anyone about you. It will be as though I am talking about my own problems, and we can help each other by keeping it between us.'

Correct Answer:

Rationale:

Question 5 of 5

A nurse is talking with a patient, and 5 minutes remain in the session. The patient has been silent for most of the session. Another patient comes to the door of the room, interrupts, and says to the nurse, 'I really need to talk to you right now.' What action is most appropriate?

A. Saying to the interrupting patient, 'I am not available to talk with you at the present time.'

B. Ending the unproductive session with the current patient and spend time with the patient who has just interrupted.

C. Inviting the interrupting patient to join in the session with the current patient.

D. Telling the patient who interrupted, 'This session will end in 5 minutes; then, I will talk with you.'

Correct Answer:

Rationale:

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