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How should the nurse who wants to demonstrate genuineness with a patient diagnosed with schizophrenia do so most effectively?
- A. By restating what the patient says.
- B. By using congruent communication strategies.
- C. By using self-disclosure in patient interactions.
- D. By consistently interpreting the patient's behaviors.
Correct Answer: B
Rationale: Genuineness involves awareness and appropriate communication of one's feelings, achieved through congruent communication.
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As a nurse discharges a patient, the patient gives the nurse a card of appreciation made in an arts and crafts group. What is the nurse's best action?
- A. Accept the card while recognizing the effectiveness of the relationship and the patient's thoughtfulness.
- B. Inform the patient that accepting gifts violates the policies of the facility. Decline the card regretfully.
- C. Acknowledge the patient's transition through the termination phase but decline the card.
- D. Accept the card and invite the patient to return to participate in other arts and crafts groups.
Correct Answer: A
Rationale: Accepting a low-value, meaningful gift like a card acknowledges the patient's gratitude without blurring boundaries.
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.
Which issues should a nurse address during the first interview with a patient diagnosed with a psychiatric disorder?
- A. Trust, congruence, attitudes, and boundaries
- B. Goals, resistance, unconscious motivations, and diversion
- C. Relationship parameters, the contract, confidentiality, and termination
- D. Transference, countertransference, intimacy, and developing resources
Correct Answer: C
Rationale: These issues establish the foundation of the therapeutic relationship during the orientation phase.
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.
A nurse caring for a withdrawn, suspicious patient recognizes the development of feelings of anger toward the patient. How should the nurse respond?
- A. By suppressing the angry feelings.
- B. By expressing the anger openly and directly with the patient.
- C. By telling the nurse manager to assign the patient to another nurse.
- D. By discussing the anger with a clinician during a supervisory session.
Correct Answer: D
Rationale: Supervision helps address countertransference, maintaining objectivity in the therapeutic relationship.