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Which of the following statements correctly depict the problem of feeling sympathy toward the client? Select all that apply.
- A. This can cause the nurse to feel sad and be unable to help the client.
- B. When the nurse's behavior is rooted in sympathy, the client finds it easier to manipulate the nurse's feelings.
- C. The client is discouraged from exploring his or her problems, thoughts, and feelings.
- D. The client is discouraged from growth.
- E. The client feels dependent on the nurse.
Correct Answer: B,C,D,E
Rationale: Sympathy can lead to manipulation, discourage exploration and growth, and foster client dependency.
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Which one 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 has been working with a patient with an eating disorder for one week. During the morning treatment team meeting, the treatment plan is updated. Which of the following would be appropriate interventions at this time in the nurse/patient relationship? Select all that apply.
- A. Exploring perceptions of reality
- B. Promoting a positive self-concept
- C. Explaining the boundaries of the relationship
- D. Working through resistance
- E. Assisting in identifying problems
Correct Answer: A,B,D
Rationale: Tasks of the working phase include exploring perceptions of reality, promoting a positive self-concept, and working through resistance.
Which of the following statements is true of the component of a therapeutic relationship "acceptance?
- A. The nurse accepts the behavior of any inappropriate behavior.
- B. It is avoiding judgments of the person, no matter what the behavior is.
- C. It involves punishment for inappropriate behavior.
- D. It is the ability of the nurse to perceive the meanings and feelings of the client and to communicate that understanding to the client.
Correct Answer: B
Rationale: Acceptance is avoiding judgments of the person, no matter what the behavior is. It means accepting the person but not necessarily the behavior. It does not involve punishment for inappropriate behavior. Empathy is the ability of the nurse to perceive the meanings and feelings of the client and to communicate that understanding to the client.
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.
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?'