Nokea
The nurse has established a therapeutic relationship with a patient. The patient is beginning to share feelings openly with the nurse. The relationship has entered which phase according to Peplau's theory?
- A. Orientation
- B. Identification
- C. Exploitation
- D. Resolution
Correct Answer: B
Rationale: In Peplau's theory, the identification phase is when the client works interdependently with the nurse, expresses feelings, and begins to feel stronger. This follows the orientation phase and precedes exploitation and resolution.
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Patients on an inpatient psychiatric unit can earn off-unit privileges for daily use of socially appropriate behavior. This is an example of employing which concept of behavior?
- A. Systematic desensitization
- B. Negative reinforcement
- C. Classical conditioning
- D. Operant conditioning
Correct Answer: D
Rationale: Operant conditioning involves learning through rewards, like earning privileges for appropriate behavior, increasing the likelihood of that behavior recurring.
The family members of a patient with bipolar disorder express frustration with the unpredictable behaviors of their loved one. Which group should the nurse suggest as most helpful to this family?
- A. Family therapy group
- B. Family education group
- C. Psychotherapy group
- D. Self-help support group
Correct Answer: B
Rationale: Family education groups provide knowledge and coping skills for families dealing with mental illness, addressing their frustration with unpredictable behaviors.
A client is supposed to be ambulating ad lib. Instead, he refuses to get out of bed, asks for a bed bath, and makes many demands of the nurses. He also yells that they are lazy and incompetent. The nurse recognizes this behavior as which of the following defense mechanisms?
- A. Introjection
- B. Projection
- C. Rationalization
- D. Reaction formation
Correct Answer: B
Rationale: Projection involves attributing one's own unacceptable thoughts or feelings, such as laziness, to others, as seen in the client's accusations toward the nurses.
The nurse is working with a client who has a history of inflicting spousal abuse. Although the nurse does not condone domestic violence, the nurse treats the client with unconditional positive regard through which of the following?
- A. The nurse tries to understand the feelings that might have led to violent behavior.
- B. The nurse uses honest emotional expression in relating to client.
- C. The client is still viewed as someone worthy of respect and assistance.
- D. The nurse relates to the client as if he were her own spouse.
Correct Answer: C
Rationale: Unconditional positive regard involves nonjudgmental respect and care for the client, regardless of their behavior, fostering a therapeutic relationship.
Which one of the following is an important characteristic of an effective therapist-client relationship in individual psychotherapy?
- A. Homogeneity between the client and the therapist.
- B. Mutual benefit for the client and the therapist.
- C. The client must adapt to the therapist's style of therapy and theoretical beliefs.
- D. Match between the theoretical beliefs and style of therapy and the client's needs and expectations of therapy.
Correct Answer: D
Rationale: Effective therapy requires compatibility between the therapist's approach and the client's needs and expectations, prioritizing the client's benefit over homogeneity or therapist gain.