Nokea
If a client tells a student nurse that the client plans to kill a family member, the student nurse must
- A. respect the client's privacy and not tell anyone
- B. tell the client that the student nurse cannot keep that secret and then report it to the instructor and/or staff members.
- C. tell the client that the student nurse will keep the secret and then tell the instructor and/or staff members.
- D. tell the instructor and then ask the instructor to keep it secret.
Correct Answer: B
Rationale: The nurse is required to notify intended victims and police of a homicidal threat, releasing them from privileged communication.
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Which role of the nurse is most likely to create difficulty for the nurse/client relationship if the client confuses physical care with intimacy and sexual interest?
- A. Teacher
- B. Caregiver
- C. Advocate
- D. Parent surrogate
Correct Answer: B
Rationale: Physical care in the caregiver role can be confused with intimacy, potentially eroding the therapeutic relationship.
The nurse understands that empathy is essential to the therapeutic relationship. When a patient makes the statement, 'I am just devastated that my marriage is falling apart,' the nurse can best show empathy through which of the following responses?
- A. I feel so bad for what you are going through.
- B. You feel like your world is falling apart right now.
- C. I have been divorced too. I know how hard it is.
- D. It will get better, let's talk about it.
Correct Answer: B
Rationale: Therapeutic communication techniques, such as reflection, restatement, and clarification, help the nurse to send empathetic messages to the client. The nurse must understand the difference between empathy and sympathy (feelings of concern or compassion one shows for another). Sympathy often shifts the emphasis to the nurse's feelings, hindering the nurse's ability to view the client's needs objectively.
Which one of the following statements about the nurse and ethnocentrism is true?
- A. Nurses as people may inwardly view their own culture as superior to others.
- B. Ethnocentrism is a desirable trait in a nurse.
- C. Nurses must deny their ethnocentrism.
- D. A nurse must not think of his or her own attitudes and beliefs.
Correct Answer: A
Rationale: Nurses as people may inwardly view their own culture as superior to others. Ethnocentrism is not uncommon, especially when the person has no experience with any culture other than his or her own.
One of the primary differences between social and therapeutic relationships is the
- A. amount of emotion invested.
- B. degree of satisfaction obtained.
- C. kind of information given.
- D. type of responsibility involved.
Correct Answer: D
Rationale: The nurse has the responsibility for the therapeutic relationship, which focuses on the client's needs.
During the orientation phase of the nurse/patient relationship, the nurse directs the patient to do which of the following?
- A. Identify problems to examine
- B. Express needs and feelings
- C. Develop interpersonal skills
- D. Identify self-care strategies
Correct Answer: A
Rationale: The orientation phase focuses on identifying problems to examine.