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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.
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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.
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.
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.
A nurse and patient have just completed reviewing the patient's take-home medications. The nurse is exemplifying which role during this intervention?
- A. Advocate
- B. Caregiver
- C. Teacher
- D. Parent Surrogate
Correct Answer: C
Rationale: The nurse acts as a teacher when instructing about medication regimens.
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.