Nokea
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.
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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.
A nurse is using the Johari window to identify the degree to which he feels comfortable communicating with others. After completing the exercise, the nurse discovers that quadrant 1 has the longest list of qualities. This indicates which of the following about the nurse?
- A. The nurse conceals personal information about himself.
- B. The nurse needs to increase insight into his own characteristics.
- C. The nurse is open to others.
- D. The patient is sharing more than the nurse in the therapeutic relationship.
Correct Answer: C
Rationale: When using the Johari window, if quadrant 1 is the largest, this indicates that the nurse is open to others.
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.
A nurse notices a patient sitting quietly alone, eyes downcast, and looking sad. The nurse says to the patient, 'You look like something is bothering you.' Which pattern of knowing did the nurse use to respond to the patient?
- A. Empirical knowing
- B. Personal knowing
- C. Ethical knowing
- D. Aesthetic knowing
Correct Answer: B
Rationale: Personal knowing is obtained from life experience, such as observing a client's emotional state.
Which is a standard for establishing a code of conduct for living?
- A. Acceptance
- B. Empathy
- C. Values
- D. Positive regard
Correct Answer: C
Rationale: Values are abstract standards that give a person a sense of right and wrong and establish a code of conduct for living.