Nokea
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.
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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.
The nurse initiating a therapeutic relationship with a client should explain the purpose, which is to
- A. alleviate stressors in life.
- B. allow the client to know the nurse's feelings.
- C. establish relationships.
- D. facilitate a positive change.
Correct Answer: D
Rationale: The client who has unmet or unsatisfactorily met needs seeks to make changes; the nurse facilitates this desire to change. The focus of the therapeutic relationship is on the client's needs, not the nurse's.
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.
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.
The nurse assesses fine hand tremors in a patient with a history of heavy alcohol use. If the nurse understands that the tremors are a direct result of alcohol use, the nurse is using which pattern of knowing, according to Carper?
- A. Aesthetic knowing
- B. Ethical knowing
- C. Personal knowing
- D. Empirical knowing
Correct Answer: D
Rationale: Empirical knowing is obtained from the science of nursing, such as understanding clinical symptoms related to alcohol use.