Nokea
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.
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During a regular home health visit to an elderly client, the nurse observes that the client has feelings of hopelessness and despair. The client says, 'I'm old, and my life has no purpose anymore. But promise me you won't tell anyone.' How should the nurse respond?
- A. Don't worry, I won't tell anyone else
- B. I'm sorry, but I can't keep that kind of secret
- C. Let's talk about something to cheer you up
- D. What can we do to help you feel better
Correct Answer: B
Rationale: Keeping secrets with a client is not permissible, especially when the client's safety is concerned.
The client says to the nurse, 'I feel really close to you. You are the only true friend I have.' The most therapeutic response the nurse can make is.
- A. I am sure there are other people in your life who are your friends; besides, we just met.
- B. It makes me feel good that you trust me so much, it is important for the work we are doing together.
- C. Since ours is a professional relationship, let's explore other opportunities in your life for friendship.
- D. We are not friends. This is strictly professional.
Correct Answer: C
Rationale: The nurse's response must let the client know in clear terms that the relationship is professional while not demeaning or ridiculing the client.
An adolescent patient has just been found to have broken one of the unit rules. The nurse imposes the consequence of losing phone privileges. In this instance, the nurse is acting as
- A. advocate.
- B. caregiver.
- C. teacher.
- D. parent surrogate.
Correct Answer: D
Rationale: The nurse assumes a parental role when setting limits, such as imposing consequences for rule-breaking.
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.
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.