Nokea
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?
- A. When the nurse tries to assist the client to change values
- B. To discuss the nurse's feelings about the client with a supervisor
- C. When the nurse begins to empathize with the client
- D. When the nurse identifies anxieties regarding the client's values and sexuality
Correct Answer: A
Rationale: It is not the nurse's role to change the values of the client.
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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.' Which pattern of knowing did the nurse use to respond to the patient?
- A. Empirical knowing
- B. Personal knowing
- C. Ethical knowing
- D. Aesthetic knowing
Correct Answer: B
Rationale: Personal knowing is obtained from life experience, such as observing a client's emotional state.
The nurse initiating a therapeutic relationship with a client should explain the purpose, which is to
- A. alleviate stressors in life.
- B. allow the client to know the nurse's feelings.
- C. establish relationships.
- D. facilitate a positive change.
Correct Answer: D
Rationale: The client who has unmet or unsatisfactorily met needs seeks to make changes; the nurse facilitates this desire to change. The focus of the therapeutic relationship is on the client's needs, not the nurse's.
Which role of the nurse is most likely to create difficulty for the nurse/client relationship if the client confuses physical care with intimacy and sexual interest?
- A. Teacher
- B. Caregiver
- C. Advocate
- D. Parent surrogate
Correct Answer: B
Rationale: Physical care in the caregiver role can be confused with intimacy, potentially eroding the therapeutic relationship.
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,
- A. Can this person understand me?
- B. Do I understand this patient's expectations of me?
- C. What experiences do I have with people with similar backgrounds?
- D. Is this person going to be able to relate to me?
Correct Answer: C
Rationale: To best assess self-awareness, the nurse should ask 'What experiences have I had with people from ethnic groups, socioeconomic classes, religions, age groups, or communities different from my own?'
Which of the following statements correctly depict the problem of feeling sympathy toward the client? Select all that apply.
- A. This can cause the nurse to feel sad and be unable to help the client.
- B. When the nurse's behavior is rooted in sympathy, the client finds it easier to manipulate the nurse's feelings.
- C. The client is discouraged from exploring his or her problems, thoughts, and feelings.
- D. The client is discouraged from growth.
- E. The client feels dependent on the nurse.
Correct Answer: B,C,D,E
Rationale: Sympathy can lead to manipulation, discourage exploration and growth, and foster client dependency.