Nokea
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 there many times before and goes back home and does the same thing.' The nurse is sharing which of the following?
- A. Value
- B. Awareness
- C. Belief
- D. Attitude
Correct Answer: D
Rationale: Attitudes are general feelings or a frame of reference around which a person organizes knowledge about the world and people.
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Which one of the following statements about the nurse and ethnocentrism is true?
- A. Nurses as people may inwardly view their own culture as superior to others.
- B. Ethnocentrism is a desirable trait in a nurse.
- C. Nurses must deny their ethnocentrism.
- D. A nurse must not think of his or her own attitudes and beliefs.
Correct Answer: A
Rationale: Nurses as people may inwardly view their own culture as superior to others. Ethnocentrism is not uncommon, especially when the person has no experience with any culture other than his or her own.
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?
- A. How is not working right now affecting you?
- B. How do you expect your kids to be provided for?
- C. You need to somehow find a way to support your children.
- D. Can the children's mother get by for a while until you get better?
Correct Answer: A
Rationale: The nurse who appreciates the client as a unique worthwhile human being can respect the client regardless of his or her behavior, background, or lifestyle. The nurse maintains attention on the client and avoids communicating negative opinions or value judgments about the client's behavior.
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.
A client who had been in a substance abuse treatment program asks the nurse to attend a picnic with his family after the client is discharged. The nurse should explain the importance of which of the following?
- A. Maintaining professional boundaries
- B. Attending family events to support recovery
- C. Ensuring family involvement in treatment
- D. Encouraging social interactions post-discharge
Correct Answer: A
Rationale: A therapeutic relationship is professional, focused on meeting the client's needs, and is terminated when the client no longer needs services. The nurse must maintain professional boundaries.
Which of the following behaviors by the nurse demonstrate positive regard? Select all that apply.
- A. Communicating judgments about the client's behavior
- B. Calling the client by name
- C. Spending time with the client
- D. Responding openly
- E. Considering the client's ideas and preference when planning care
Correct Answer: B,C,D,E
Rationale: Calling the client by name, spending time with the client, and listening and responding openly are measures by which the nurse conveys respect and positive regard to the client. The nurse also conveys positive regard by considering the client's ideas and preferences when planning care. The nurse maintains attention on the client and avoids communicating negative opinions or value judgments about the client's behavior.