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A nurse openly admits to not being able to relate to a patient's experience. According to Marshall, this is an example of
- A. The nurse will avoid imposing any values on the patient.
- B. The patient will not trust the nurse's professional abilities.
- C. The nurse will more likely be manipulated by the patient.
- D. The patient will be less likely to self-disclose to the nurse.
Correct Answer: A
Rationale: Marshall added another pattern of knowing called unknowing. For the nurse to admit she or he does not understand the client or the client's subjective world opens the way for a truly authentic encounter.
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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.
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.
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.
- B. caregiver.
- C. teacher.
- D. parent surrogate.
Correct Answer: D
Rationale: The nurse assumes a parental role when setting limits, such as imposing consequences for rule-breaking.
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.
A nurse and patient have just completed reviewing the patient's take-home medications. The nurse is exemplifying which role during this intervention?
- A. Advocate
- B. Caregiver
- C. Teacher
- D. Parent Surrogate
Correct Answer: C
Rationale: The nurse acts as a teacher when instructing about medication regimens.