Nokea
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?'
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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 nurse/patient relationship by
- A. influencing whether the patient likes the nurse or not.
- B. avoiding serious work that can help the patient change.
- C. overstepping ethical boundaries that the nurse should maintain.
Correct Answer: B
Rationale: Social interaction must be limited to ensure the therapeutic relationship focuses on the client's needs and goals.
How can a nurse avoid the possibility of finding the client's behavior unacceptable or distasteful?
- A. By being aware of the client's behavior and background before beginning the relationship, and exploring the possibility of a conflict with a colleague.
- B. By using silence instead of verbal responses for all instances of the client describing their behavior
- C. By using facial expressions of annoyance if the client expresses behavior that the nurse disapproves of
- D. By turning away from the client when the nurse does not want the client to see his or her facial expression
Correct Answer: A
Rationale: Being aware of the client's behavior and background and discussing potential conflicts with a colleague helps prevent negative reactions.
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.
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?
- A. We have to go over these instructions before you can go. Please try to listen
- B. Would you rather not be discharged today?
- C. I can sense you are angry this morning. Tell me how you feel about being discharged today.
- D. You should be able to regulate your feelings better by now. Why are you angry?
Correct Answer: C
Rationale: Acknowledging the client's angry feelings and assuring the client that this response is normal helps address the sense of loss during termination.
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.
- A. I am sure there are other people in your life who are your friends; besides, we just met.
- B. It makes me feel good that you trust me so much, it is important for the work we are doing together.
- C. Since ours is a professional relationship, let's explore other opportunities in your life for friendship.
- D. We are not friends. This is strictly professional.
Correct Answer: C
Rationale: The nurse's response must let the client know in clear terms that the relationship is professional while not demeaning or ridiculing the client.