Nokea
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.
You may also like to solve these questions
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.
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.
A nurse is working with a patient whose background is very different from hers. A good question to ask herself to assure she can be effective working with this patient would be,
- A. Can this person understand me?
- B. Do I understand this patient's expectations of me?
- C. What experiences do I have with people with similar backgrounds?
- D. Is this person going to be able to relate to me?
Correct Answer: C
Rationale: To best assess self-awareness, the nurse should ask 'What experiences have I had with people from ethnic groups, socioeconomic classes, religions, age groups, or communities different from my own?'
Which is a standard for establishing a code of conduct for living?
- A. Acceptance
- B. Empathy
- C. Values
- D. Positive regard
Correct Answer: C
Rationale: Values are abstract standards that give a person a sense of right and wrong and establish a code of conduct for living.
If a client tells a student nurse that the client plans to kill a family member, the student nurse must
- A. respect the client's privacy and not tell anyone
- B. tell the client that the student nurse cannot keep that secret and then report it to the instructor and/or staff members.
- C. tell the client that the student nurse will keep the secret and then tell the instructor and/or staff members.
- D. tell the instructor and then ask the instructor to keep it secret.
Correct Answer: B
Rationale: The nurse is required to notify intended victims and police of a homicidal threat, releasing them from privileged communication.