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Which of the following statements is true of empathy?
- A. It is the ability to place oneself into the experience of another for a moment in time.
- B. It involves interjecting the nurse's personal experiences and interpretations of the situation.
- C. It is developed by gathering information from the client.
- D. It results in negative therapeutic outcomes.
- E. The client must learn to develop empathy for the nurse.
Correct Answer: A,C
Rationale: Empathy involves understanding the client's experience by gathering information directly from them, avoiding personal bias, and fostering positive therapeutic outcomes, not requiring reciprocal empathy from the client.
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A patient remarks, 'You know, it's the same thing every time.' The nurse should respond by stating,
- A. I understand
- B. I'm sure everyone is doing their best.
- C. I'm not sure what you mean. Please explain.
- D. It's the same thing every time?
Correct Answer: C
Rationale: Consensual validation seeks mutual understanding by clarifying ambiguous statements, ensuring both nurse and client share the same meaning.
The nurse says to the client, 'You become very anxious when we start talking about your drinking.' Which of the following techniques is the nurse using?
- A. Confronting behavior
- B. Making an observation
- C. Translating into feelings
- D. Verbalizing the implied
Correct Answer: B
Rationale: Making an observation involves stating what the nurse sees, like the client's anxiety, allowing the client to validate or clarify without confrontation.
A patient yells, 'All the nurses here are so mean. None of you really care about us!' The most therapeutic response would be,
- A. I cannot allow you to yell like that.
- B. We care about you.
- C. Oh, really?
- D. You seem very irritated.
Correct Answer: D
Rationale: Reflecting the client's feelings, like irritation, acknowledges their emotions and encourages further expression, fostering a therapeutic dialogue.
The nurse asks the patient, 'What was it like for you when you first knew you had no place to go?' The patient looks down and pauses for quite some time. Which action by the nurse is most therapeutic?
- A. Change the subject to something the patient will discuss
- B. Encourage the patient to express any unpleasant feelings
- C. Apologize for asking such a personal question
- D. Sit quietly until the patient responds
Correct Answer: D
Rationale: Silence allows the patient time to process and respond, respecting their pace, unlike changing the subject or apologizing, which may disrupt therapeutic engagement.
The nurse asks the patient what he would like to talk about. This is an example of
- A. Broad opening
- B. Encouraging expression
- C. Focusing
- D. Offering self
Correct Answer: A
Rationale: Broad openings allow the client to initiate and direct the conversation, encouraging them to choose the topic, unlike focusing or offering self, which have different purposes.