Which of the following behaviors by the nurse demonstrate positive regard? Select all that apply.
- A. Communicating judgments about the client's behavior
- B. Calling the client by name
- C. Spending time with the client
- D. Responding openly
- E. Considering the client's ideas and preference when planning care
Correct Answer: B,C,D,E
Rationale: Calling the client by name, spending time with the client, and listening and responding openly are measures by which the nurse conveys respect and positive regard to the client. The nurse also conveys positive regard by considering the client's ideas and preferences when planning care. The nurse maintains attention on the client and avoids communicating negative opinions or value judgments about the client's behavior.
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During a regular home health visit to an elderly client, the nurse observes that the client has feelings of hopelessness and despair. The client says, 'I'm old, and my life has no purpose anymore. But promise me you won't tell anyone.' How should the nurse respond?
- A. Don't worry, I won't tell anyone else
- B. I'm sorry, but I can't keep that kind of secret
- C. Let's talk about something to cheer you up
- D. What can we do to help you feel better
Correct Answer: B
Rationale: Keeping secrets with a client is not permissible, especially when the client's safety is concerned.
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.
A nurse is using the Johari window to identify the degree to which he feels comfortable communicating with others. After completing the exercise, the nurse discovers that quadrant 1 has the longest list of qualities. This indicates which of the following about the nurse?
- A. The nurse conceals personal information about himself.
- B. The nurse needs to increase insight into his own characteristics.
- C. The nurse is open to others.
- D. The patient is sharing more than the nurse in the therapeutic relationship.
Correct Answer: C
Rationale: When using the Johari window, if quadrant 1 is the largest, this indicates that the nurse is open to others.
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.
An adolescent patient has just been found to have broken one of the unit rules. The nurse imposes the consequence of losing phone privileges. In this instance, the nurse is acting as
- A. advocate.
- B. caregiver.
- C. teacher.
- D. parent surrogate.
Correct Answer: D
Rationale: The nurse assumes a parental role when setting limits, such as imposing consequences for rule-breaking.
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