Nokea
Which descriptors exemplify consistency regarding therapeutic nurse-patient relationships? (Select all that apply.)
- A. Having the same nurse care for a patient on a daily basis
- B. Encouraging a patient to share initial impressions of staff
- C. Providing a schedule of daily activities to a patient
- D. Setting a time for regular sessions with a patient
- E. Offering solutions to a patient's problems
Correct Answer: A,C,D
Rationale: Consistency involves predictability, such as same nurse, daily schedules, and regular session times, fostering security.
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During the first interview, a nurse notices that the patient does not make eye contact. What can the nurse correctly assume from this behavior?
- A. The patient is not truthful.
- B. The patient is feeling sad.
- C. The patient has a poor self-concept.
- D. The need for more information is required to draw a conclusion.
Correct Answer: D
Rationale: Lack of eye contact alone is insufficient to draw specific conclusions; further assessment is needed.
A nurse says, 'I am the only one who truly understands this patient. Other staff members are too critical.' What does the nurse's statement indicate?
- A. Boundary blurring
- B. Sexual harassment
- C. Positive regard
- D. Advocacy
Correct Answer: A
Rationale: Overinvolvement suggests boundary blurring, likely due to countertransference, requiring supervision.
At what point in the nurse-patient relationship should a nurse plan to first address termination?
- A. In the orientation phase
- B. During the working phase
- C. In the termination phase
- D. When the patient initially brings up the topic
Correct Answer: A
Rationale: Informing the patient about the relationship's conditions, including termination, early in the orientation phase ensures clarity and sets expectations.
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.
A nurse caring for a withdrawn, suspicious patient recognizes the development of feelings of anger toward the patient. How should the nurse respond?
- A. By suppressing the angry feelings.
- B. By expressing the anger openly and directly with the patient.
- C. By telling the nurse manager to assign the patient to another nurse.
- D. By discussing the anger with a clinician during a supervisory session.
Correct Answer: D
Rationale: Supervision helps address countertransference, maintaining objectivity in the therapeutic relationship.