Nokea
The nurse fails to assess personal values surrounding homosexuality before caring for a patient who is openly gay. Which 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.
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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.
Which of the following occurrences is considered a breach of professional boundaries?
- A. Patient asking a nurse for her phone number
- B. Refusing a gift from a patient
- C. Changing the subject in response to a patient compliment
- D. Having a lengthy social conversation with a patient
Correct Answer: D
Rationale: Lengthy social conversations erode the professional relationship by shifting focus away from the client's needs.
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.
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 is the most important skill the nurse must bring to the therapeutic nurse/client relationship?
- A. Confrontation
- B. Empathy
- C. Humor
- D. Reframing
Correct Answer: B
Rationale: The nurse must be able to express caring and concern for the client. Empathy is the ability of the nurse to perceive the meanings and feelings of the client and to communicate that understanding to the client.