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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.
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The nurse assesses fine hand tremors in a patient with a history of heavy alcohol use. If the nurse understands that the tremors are a direct result of alcohol use, the nurse is using which pattern of knowing, according to Carper?
- A. Aesthetic knowing
- B. Ethical knowing
- C. Personal knowing
- D. Empirical knowing
Correct Answer: D
Rationale: Empirical knowing is obtained from the science of nursing, such as understanding clinical symptoms related to alcohol use.
When preparing for the first clinical experience with patients on a forensic unit at a psychiatric hospital, the nursing instructor discusses students' beliefs and fears surrounding forensic patients. The primary reason for discussing personal beliefs is to
- A. practice reflective communication skills in a role-play situation.
- B. assign the most compatible patients to the students
- C. assess the appropriateness of the setting for implementing nursing skills.
- D. become aware of possible barriers to developing therapeutic relationships.
Correct Answer: D
Rationale: Self-awareness allows the nurse to observe, pay attention to, and understand the subtle responses and reactions of clients when interacting with them.
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.
The nurse has been working with a patient with an eating disorder for one week. During the morning treatment team meeting, the treatment plan is updated. Which of the following would be appropriate interventions at this time in the nurse/patient relationship? Select all that apply.
- A. Exploring perceptions of reality
- B. Promoting a positive self-concept
- C. Explaining the boundaries of the relationship
- D. Working through resistance
- E. Assisting in identifying problems
Correct Answer: A,B,D
Rationale: Tasks of the working phase include exploring perceptions of reality, promoting a positive self-concept, and working through resistance.
A nurse notices a patient sitting quietly alone, eyes downcast, and looking sad. The nurse says to the patient, 'You look like something is bothering you.' Which pattern of knowing did the nurse use to respond to the patient?
- A. Empirical knowing
- B. Personal knowing
- C. Ethical knowing
- D. Aesthetic knowing
Correct Answer: B
Rationale: Personal knowing is obtained from life experience, such as observing a client's emotional state.