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.
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A nurse and patient have just completed reviewing the patient's take-home medications. The nurse is exemplifying which role during this intervention?
- A. Advocate
- B. Caregiver
- C. Teacher
- D. Parent Surrogate
Correct Answer: C
Rationale: The nurse acts as a teacher when instructing about medication regimens.
The nurse fails to assess personal values surrounding homosexuality before caring for a patient who is openly gay. Which of the following statements about the nurse and ethnocentrism is true?
- A. Nurses as people may inwardly view their own culture as superior to others.
- B. Ethnocentrism is a desirable trait in a nurse.
- C. Nurses must deny their ethnocentrism.
- D. A nurse must not think of his or her own attitudes and beliefs.
Correct Answer: A
Rationale: Nurses as people may inwardly view their own culture as superior to others. Ethnocentrism is not uncommon, especially when the person has no experience with any culture other than his or her own.
The nurse initiating a therapeutic relationship with a client should explain the purpose, which is to
- A. alleviate stressors in life.
- B. allow the client to know the nurse's feelings.
- C. establish relationships.
- D. facilitate a positive change.
Correct Answer: D
Rationale: The client who has unmet or unsatisfactorily met needs seeks to make changes; the nurse facilitates this desire to change. The focus of the therapeutic relationship is on the client's needs, not the nurse's.
In the working phase of a therapeutic relationship, which of the following actions by the nurse would best help the client to explore?
- A. Comparing past and present
- B. Encouraging the client to clarify feelings and behavior
- C. Identifying possible solutions for the client's problems
- D. Referring the client to a self-help group
Correct Answer: B
Rationale: Encouraging the client to clarify feelings and behavior is a first step in problem identification and exploration.
The nurse understands that empathy is essential to the therapeutic relationship. When a patient makes the statement, 'I am just devastated that my marriage is falling apart,' the nurse can best show empathy through which of the following responses?
- A. I feel so bad for what you are going through.
- B. You feel like your world is falling apart right now.
- C. I have been divorced too. I know how hard it is.
- D. It will get better, let's talk about it.
Correct Answer: B
Rationale: Therapeutic communication techniques, such as reflection, restatement, and clarification, help the nurse to send empathetic messages to the client. The nurse must understand the difference between empathy and sympathy (feelings of concern or compassion one shows for another). Sympathy often shifts the emphasis to the nurse's feelings, hindering the nurse's ability to view the client's needs objectively.
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