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A patient says, 'I've done a lot of cheating and manipulating in my relationships.' What nonjudgmental response by the nurse is most appropriate?
- A. How do you feel about that?'
- B. It's good that you realize this.'
- C. That's not a good way to behave.'
- D. Have you outgrown that type of behavior?'
Correct Answer: A
Rationale: A nonjudgmental response encourages reflection on feelings without implying judgment.
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A nurse says, 'I am the only one who truly understands this patient. Other staff members are too critical.' What does the nurse's statement indicate?
- A. Boundary blurring
- B. Sexual harassment
- C. Positive regard
- D. Advocacy
Correct Answer: A
Rationale: Overinvolvement suggests boundary blurring, likely due to countertransference, requiring supervision.
At what point in the nurse-patient relationship should a nurse plan to first address termination?
- A. In the orientation phase
- B. During the working phase
- C. In the termination phase
- D. When the patient initially brings up the topic
Correct Answer: A
Rationale: Informing the patient about the relationship's conditions, including termination, early in the orientation phase ensures clarity and sets expectations.
Which remark by a patient indicates passage from the orientation phase to the working phase of a nurse-patient relationship?
- A. I don't have any problems.'
- B. It is so difficult for me to talk about my problems.'
- C. I don't know how talking about things twice a week can help.'
- D. I want to find a way to deal with my anger without becoming violent.'
Correct Answer: D
Rationale: Expressing a desire to address specific behaviors indicates readiness for behavioral change, characteristic of the working phase.
A community mental health nurse has worked with a patient for 3 years but is moving out of the city and terminates the relationship. What is the role of the new nurse who begins working with this patient?
- A. Beginning at the orientation phase
- B. Resuming the working relationship
- C. Entering into a social relationship
- D. Returning to the emotional catharsis phase
Correct Answer: A
Rationale: A new nurse must start at the orientation phase to build trust and establish a new therapeutic relationship.
A new psychiatric nurse is providing care to a parent diagnosed with bipolar disorder. This nurse angrily recalls embarrassing events concerning the parent's behavior in the community. Select the best ways for this nurse to cope with these feelings. (Select all that apply.)
- A. Seeking ways to use the understanding gained from childhood to help patients cope with their own illnesses
- B. Recognizing that these feelings are unhealthy and try to suppress them when working with patients
- C. Recognizing that psychiatric nursing is not an appropriate career choice and explore other nursing specialties er??s
- D. Beginning new patient relationships by saying, 'My own parent had mental illness, so I accept it without stigma'
- E. Recognizing that the feelings may add sensitivity to the nurse's practice, but supervision is important
Correct Answer: A,E
Rationale: Using personal experiences constructively and seeking supervision help manage feelings and enhance practice.