Nokea
What patient behavior is the desirable outcome for the orientation stage of a nurse-patient relationship?
- A. Gaining a sense of independence
- B. Building rapport and trust with the nurse
- C. Assuming self-responsibility and autonomy
- D. Effective resolution of feelings of transference
Correct Answer: B
Rationale: Rapport and trust are necessary for the relationship to progress to the working phase. Other behaviors occur later.
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A patient says, 'I'm still on restriction, but I want to attend some off-unit activities. Would you ask the doctor to change my privileges?' What is the nurse's best response?
- A. Why are you asking me when you're able to speak for yourself?'
- B. I will be glad to address it when I see your doctor later today.'
- C. That's a good topic for you to take up with your doctor.'
- D. Do you think you can't speak to a doctor?'
Correct Answer: C
Rationale: Encouraging the patient to advocate for themselves promotes independence and optimal functioning.
Termination of a therapeutic nurse-patient relationship with a patient has been successful when nurse engages in what action?
- A. Avoids upsetting the patient by shifting focus to other patients before the discharge.
- B. Gives the patient a personal telephone number and permission to call after discharge.
- C. Discusses with the patient changes that have happened during the relationship and evaluates the outcomes.
- D. Offers to meet the patient for coffee and conversation three times a week after discharge.
Correct Answer: C
Rationale: Summarizing and evaluating progress validates the experience and facilitates closure. Other options promote dependency or avoidance.
A patient says, 'I've done a lot of cheating and manipulating in my relationships.' What nonjudgmental response by the nurse is most appropriate?
- A. How do you feel about that?'
- B. It's good that you realize this.'
- C. That's not a good way to behave.'
- D. Have you outgrown that type of behavior?'
Correct Answer: A
Rationale: A nonjudgmental response encourages reflection on feelings without implying judgment.
As a nurse discharges a patient, the patient gives the nurse a card of appreciation made in an arts and crafts group. What is the nurse's best action?
- A. Accept the card while recognizing the effectiveness of the relationship and the patient's thoughtfulness.
- B. Inform the patient that accepting gifts violates the policies of the facility. Decline the card regretfully.
- C. Acknowledge the patient's transition through the termination phase but decline the card.
- D. Accept the card and invite the patient to return to participate in other arts and crafts groups.
Correct Answer: A
Rationale: Accepting a low-value, meaningful gift like a card acknowledges the patient's gratitude without blurring boundaries.
A nurse ends a relationship with a patient. Which actions by the nurse should be included in the termination phase? (Select all that apply.)
- A. Focus dialog with the patient on problems that may occur in the future.
- B. Help the patient express feelings about the relationship with the nurse.
- C. Help the patient prioritize and modify socially unacceptable behaviors.
- D. Reinforce expectations regarding the parameters of the relationship.
- E. Help the patient identify strengths, limitations, and problems.
Correct Answer: A,B
Rationale: Termination involves discussing future challenges and expressing feelings about the relationship to facilitate closure.