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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.
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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 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.
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 nurse assesses fine hand tremors in a patient with a history of heavy alcohol use. If the nurse understands that the tremors are a direct result of alcohol use, the nurse is using which pattern of knowing, according to Carper?
- A. Aesthetic knowing
- B. Ethical knowing
- C. Personal knowing
- D. Empirical knowing
Correct Answer: D
Rationale: Empirical knowing is obtained from the science of nursing, such as understanding clinical symptoms related to alcohol use.
Which of the following occurrences is considered a breach of professional boundaries?
- A. Patient asking a nurse for her phone number
- B. Refusing a gift from a patient
- C. Changing the subject in response to a patient compliment
- D. Having a lengthy social conversation with a patient
Correct Answer: D
Rationale: Lengthy social conversations erode the professional relationship by shifting focus away from the client's needs.