Nokea
During the first interview, a nurse notices that the patient does not make eye contact. What can the nurse correctly assume from this behavior?
- A. The patient is not truthful.
- B. The patient is feeling sad.
- C. The patient has a poor self-concept.
- D. The need for more information is required to draw a conclusion.
Correct Answer: D
Rationale: Lack of eye contact alone is insufficient to draw specific conclusions; further assessment is needed.
You may also like to solve these questions
A patient says, 'Please don't share information about me with the other people.' How should the nurse respond?
- A. I won't share information with others without your permission, but I will share information about you with other staff members.'
- B. A therapeutic relationship is just between the nurse and the patient. It's up to you to tell others what you want them to know.'
- C. It really depends on what you choose to tell me. I will be glad to disclose at the end of each session what I will report to others.'
- D. I cannot tell anyone about you. It will be as though I am talking about my own problems, and we can help each other by keeping it between us.'
Correct Answer: A
Rationale: A patient has the right to know with whom the nurse will share information and that confidentiality will be protected. Other staff members need pertinent data, making this response appropriate.
A nurse explains to the family of a patient who is mentally ill how the nurse-patient relationship differs from social relationships. Which is the best explanation?
- A. The focus is on the patient. Problems are discussed by the nurse and patient, but solutions are implemented by the patient.'
- B. The focus shifts from nurse to patient as the relationship develops. Advice is given by both, and solutions are implemented.'
- C. The focus of the relationship is socialization. Mutual needs are met, and feelings are openly shared.'
- D. The focus-Is the creation of a partnership in which each member is concerned with the growth and satisfaction of the other.'
Correct Answer: A
Rationale: The therapeutic relationship focuses on the patient's needs and solutions, distinguishing it from social relationships.
Why should the nurse introduce the matter of a contract during the first session with a new patient?
- A. To specify what the nurse will do for the patient
- B. To explain the participation and responsibilities of each party
- C. To indicate the feeling tone established between the participants
- D. To prevent either party from prematurely ending the relationship
Correct Answer: B
Rationale: A contract outlines mutual participation and responsibilities, emphasizing collaboration rather than unilateral action.
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.
A patient says, 'People should be allowed to commit suicide without interference from others.' A nurse replies, 'You're wrong. Nothing is bad enough to justify death.' What is the best analysis of this interchange?
- A. The patient is correct.
- B. The nurse is correct.
- C. Neither person is totally correct.
- D. Differing values are reflected in the two statements.
Correct Answer: D
Rationale: The statements reflect differing values on autonomy and life, highlighting the need for nurses to be aware of their own values.