Nokea
Which of the following is the most important skill the nurse must bring to the therapeutic nurse/client relationship?
- A. Confrontation
- B. Empathy
- C. Humor
- D. Reframing
Correct Answer: B
Rationale: The nurse must be able to express caring and concern for the client. Empathy is the ability of the nurse to perceive the meanings and feelings of the client and to communicate that understanding to the client.
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One of the primary differences between social and therapeutic relationships is the
- A. amount of emotion invested.
- B. degree of satisfaction obtained.
- C. kind of information given.
- D. type of responsibility involved.
Correct Answer: D
Rationale: The nurse has the responsibility for the therapeutic relationship, which focuses on the client's needs.
Which role of the nurse is most likely to create difficulty for the nurse/client relationship if the client confuses physical care with intimacy and sexual interest?
- A. Teacher
- B. Caregiver
- C. Advocate
- D. Parent surrogate
Correct Answer: B
Rationale: Physical care in the caregiver role can be confused with intimacy, potentially eroding the therapeutic relationship.
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.
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.
A nurse makes the statement in a treatment team meeting, 'It's not worth it to try to teach this patient how to make better choices. He has been there many times before and goes back home and does the same thing.' The nurse is sharing which of the following?
- A. Value
- B. Awareness
- C. Belief
- D. Attitude
Correct Answer: D
Rationale: Attitudes are general feelings or a frame of reference around which a person organizes knowledge about the world and people.