Nokea
The nurse is working with a patient who has quit several jobs and no longer sends financial support to his two children living with their mother. This behavior is in conflict with the nurse's values concerning responsible parenting. When discussing family roles with the patient, the nurse shows positive regard through which statement?
- A. How is not working right now affecting you?
- B. How do you expect your kids to be provided for?
- C. You need to somehow find a way to support your children.
- D. Can the children's mother get by for a while until you get better?
Correct Answer: A
Rationale: The nurse who appreciates the client as a unique worthwhile human being can respect the client regardless of his or her behavior, background, or lifestyle. The nurse maintains attention on the client and avoids communicating negative opinions or value judgments about the client's behavior.
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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.
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.
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.
How can a nurse avoid the possibility of finding the client's behavior unacceptable or distasteful?
- A. By being aware of the client's behavior and background before beginning the relationship, and exploring the possibility of a conflict with a colleague.
- B. By using silence instead of verbal responses for all instances of the client describing their behavior
- C. By using facial expressions of annoyance if the client expresses behavior that the nurse disapproves of
- D. By turning away from the client when the nurse does not want the client to see his or her facial expression
Correct Answer: A
Rationale: Being aware of the client's behavior and background and discussing potential conflicts with a colleague helps prevent negative reactions.
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.