Nokea
Which of the following statements is true about a nurse's self-disclosure?
- A. It is the basis for effective communication.
- B. Self-disclosure should be used with all clients to some degree.
- C. The more the nurse discloses, the more the client will disclose.
- D. Self-disclosure on the nurse's part should benefit the client.
Correct Answer: D
Rationale: Self-disclosure should only be used when it clearly benefits the client and is planned thoughtfully.
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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.
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.
Which of the following occurrences is considered a breach of professional boundaries?
- A. Patient asking a nurse for her phone number
- B. Refusing a gift from a patient
- C. Changing the subject in response to a patient compliment
- D. Having a lengthy social conversation with a patient
Correct Answer: D
Rationale: Lengthy social conversations erode the professional relationship by shifting focus away from 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.
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.