Nokea
The client tells the nurse, 'I don't think you can help me. Every time I talk to you, I am reminded of my mother, and I hated her.' The nurse should recognize this as
- A. confrontation.
- B. countertransference.
- C. incongruence.
- D. transference.
Correct Answer: D
Rationale: Transference occurs when the client unconsciously transfers to the nurse feelings he or she has for significant others.
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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.
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.
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.
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.
A nurse is assigned to care for a client whose sexual orientation differs from the nurse's sexual orientation. When should the nurse seek clinical supervision?
- A. When the nurse tries to assist the client to change values
- B. To discuss the nurse's feelings about the client with a supervisor
- C. When the nurse begins to empathize with the client
- D. When the nurse identifies anxieties regarding the client's values and sexuality
Correct Answer: A
Rationale: It is not the nurse's role to change the values of the client.