Nokea
In the working phase of a therapeutic relationship, which of the following actions by the nurse would best help the client to explore?
- A. Comparing past and present
- B. Encouraging the client to clarify feelings and behavior
- C. Identifying possible solutions for the client's problems
- D. Referring the client to a self-help group
Correct Answer: B
Rationale: Encouraging the client to clarify feelings and behavior is a first step in problem identification and exploration.
You may also like to solve these questions
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.
The nurse is working with a patient who has quit several jobs and no longer sends financial support to his two children living with their mother. This behavior is in conflict with the nurse's values concerning responsible parenting. When discussing family roles with the patient, the nurse shows positive regard through which statement?
- A. How is not working right now affecting you?
- B. How do you expect your kids to be provided for?
- C. You need to somehow find a way to support your children.
- D. Can the children's mother get by for a while until you get better?
Correct Answer: A
Rationale: The nurse who appreciates the client as a unique worthwhile human being can respect the client regardless of his or her behavior, background, or lifestyle. The nurse maintains attention on the client and avoids communicating negative opinions or value judgments about the client's behavior.
The nurse is mindful of maintaining relationships with patients that are therapeutic. Certain characteristics of the relationships the nurse will foster include: Select all that apply.
- A. offering sound advice to the patient.
- B. establishing boundaries for both the nurse and patient.
- C. maintaining a patient-focus at all times
- D. sharing personal feelings openly with the patient.
- E. avoiding concern with whether the patient likes the nurse
Correct Answer: B,C,E
Rationale: The therapeutic relationship focuses on the needs, experiences, feelings, and ideas of the client only, with clear boundaries and no concern for whether the client likes the nurse.
A client who had been in a substance abuse treatment program asks the nurse to attend a picnic with his family after the client is discharged. The nurse should explain the importance of which of the following?
- A. Maintaining professional boundaries
- B. Attending family events to support recovery
- C. Ensuring family involvement in treatment
- D. Encouraging social interactions post-discharge
Correct Answer: A
Rationale: A therapeutic relationship is professional, focused on meeting the client's needs, and is terminated when the client no longer needs services. The nurse must maintain professional boundaries.
Which of the following statements correctly depict the problem of feeling sympathy toward the client? Select all that apply.
- A. This can cause the nurse to feel sad and be unable to help the client.
- B. When the nurse's behavior is rooted in sympathy, the client finds it easier to manipulate the nurse's feelings.
- C. The client is discouraged from exploring his or her problems, thoughts, and feelings.
- D. The client is discouraged from growth.
- E. The client feels dependent on the nurse.
Correct Answer: B,C,D,E
Rationale: Sympathy can lead to manipulation, discourage exploration and growth, and foster client dependency.